MICHELE K CARROLL
Licensed Clinical Social Worker


Address: 22 E 105th St, New York, NY 10029-4445

MICHELE K CARROLL (Credential# 1361430) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.

Business Overview

MICHELE K CARROLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.009626. The credential type is licensed clinical social worker. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 22 E 105th St, New York, NY 10029-4445. The current status is inactive.

Basic Information

Licensee Name MICHELE K CARROLL
Credential ID 1361430
Credential Number 58.009626
Credential Type Licensed Clinical Social Worker
Business Address 22 E 105th St
New York
NY 10029-4445
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-11-02
Effective Date 2018-09-01
Expiration Date 2019-08-31
Refresh Date 2019-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1266696 MSW.001228 Master's Level Social Worker 2015-04-09 2016-09-01 - 2017-08-31 INACTIVE

Office Location

Street Address 22 E 105TH ST
City NEW YORK
State NY
Zip Code 10029-4445

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City NEW YORK
Zip Code 10029
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + NEW YORK

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Mary Lee Carroll 18 Cutler Street, Watertown, CT 06795 Licensed Clinical Social Worker 2020-06-01 ~ 2021-05-31
Marcy D Pellenberg 310 Carroll Close, Tarrytown, NY 10591-5216 Licensed Clinical Social Worker 1997-05-05 ~ 1998-03-31

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Dataset Information

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).

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