DOMINIQUE L SHABAZZ (Credential# 1333881) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
DOMINIQUE L SHABAZZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010173. The credential type is licensed clinical social worker. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 40 Court St, Windsor, CT 06095-2909. The current status is active.
| Licensee Name | DOMINIQUE L SHABAZZ |
| Credential ID | 1333881 |
| Credential Number | 58.010173 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
40 Court St Windsor CT 06095-2909 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-03-15 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1313758 | MSW.002913 | Master's Level Social Worker | 2015-10-05 | 2015-10-05 - 2016-10-31 | INACTIVE |
| Street Address | 40 COURT ST |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-2909 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ganesha Knight | 40 Court St, Windsor, CT 06095 | Medication Administration Certification | 2020-04-18 ~ 2022-04-17 |
| Akwan S Shabazz | 40 Court St, Windsor, CT 06095-2909 | Asbestos Abatement Supervisor | 2017-09-01 ~ 2018-08-31 |
| Darrell L Williams | 40 Court St, Windsor, CT 06095-2909 | Asbestos Abatement Supervisor | 2017-03-27 ~ 2018-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harriet Wetstone | 44 Court St, Windsor, CT 06095-2909 | Psychologist | 2011-11-01 ~ 2012-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | WINDSOR |
| Zip Code | 06095 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominique C Harmon | 792 Eve Street, Augusta, GA 30904 | Licensed Clinical Social Worker | 2004-02-02 ~ 2005-02-28 |
| Dominique G Decilla | 333 Atwood Ave, Waterbury, CT 06705 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Miriam Beth Shabazz | 424 Whitney Ave, New Haven, CT 06511 | Master's Level Social Worker | 2018-06-01 ~ 2019-05-31 |
| Dominique Lakwan Shabazz | 239 Preston Street, Windsor, CT 06095 | Notary Public Appointment | 2015-11-06 ~ 2020-11-30 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Amy V Jaffe | 601 W End Ave, New York, NY 10024-1611 | Licensed Clinical Social Worker | 2015-07-01 ~ 2016-06-30 |
| Amy Leigh Dorsey | 40a Cos Cob Ave, Cos Cob, CT 06807-2117 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Amy Roe | 42 School St, New London, CT 06320-4611 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Ben Locasto | P.o. Box 11, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on DOMINIQUE L SHABAZZ.
| 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).