SHANE M SCOTT (Credential# 1320077) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
SHANE M SCOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.009612. The credential type is licensed clinical social worker. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 112 Fisk Dr, Newington, CT 06111-2306. The current status is active.
| Licensee Name | SHANE M SCOTT |
| Credential ID | 1320077 |
| Credential Number | 58.009612 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
112 Fisk Dr Newington CT 06111-2306 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-25 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1277008 | MSW.001306 | Master's Level Social Worker | 2015-04-21 | 2016-09-01 - 2017-08-31 | INACTIVE |
| Street Address | 112 FISK DR |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2306 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose A Nieves | 112 Fisk Dr, Newington, CT 06111-2306 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie A Iris | 94 Fisk Dr, Newington, CT 06111-2306 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shane James | 741 Bunker Hill Rd, Watertown, CT 06795-3353 | Licensed Clinical Social Worker | ~ |
| Shane Murphy | 168 Wright Pond Rd, Canterbury, CT 06331-1132 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Shane Michael Mahon | 7 Moahwk Drive, North Haven, CT 06473 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Scott M Sinay | 14 Ridgeland Rd Apt 1, Shrewsbury, MA 01545-3524 | Licensed Clinical Social Worker | ~ |
| Stacy L Hankey | 19 Scott Rd, Prospect, CT 06712-1331 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Scott A Marino | 353 Curtis Ave, Stratford, CT 06615-7612 | Licensed Clinical Social Worker | 2002-06-04 ~ 2003-05-31 |
| Scott W Stern | 385 Farm To Market Rd, Brewster, NY 10509-6145 | Licensed Clinical Social Worker | ~ |
| Scott A Clark | 832 Glacier Way, Southington, CT 06489 | Licensed Clinical Social Worker | 2017-04-01 ~ 2018-03-31 |
| Scott E Torquato | 153 Hazard Ave, Enfield, CT 06082-4592 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Charles A Launi | 220 Scott Dr, Manchester, CT 06040 | Licensed Clinical Social Worker | ~ 1994-11-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).