KRISTY M RANCOURT (Credential# 1493103) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
KRISTY M RANCOURT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010240. The credential type is licensed clinical social worker. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 570 Black Rock Tpke, Fairfield, CT 06825-4744. The current status is active.
| Licensee Name | KRISTY M RANCOURT |
| Credential ID | 1493103 |
| Credential Number | 58.010240 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
570 Black Rock Tpke Fairfield CT 06825-4744 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-22 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1314722 | MSW.003168 | Master's Level Social Worker | 2015-12-09 | 2017-02-01 - 2018-01-31 | INACTIVE |
| Street Address | 570 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-4744 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark W Jennings | 570 Black Rock Tpke, Fairfield, CT 06825-4744 | Controlled Substance Registration for Practitioner | 2015-07-06 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott M Mattison | 562 Black Rock Tpke, Fairfield, CT 06825-4744 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Carol Dowsen | 542 Black Rock Tpke, Fairfield, CT 06825-4744 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca G Rancourt · Wade | 4 Wades Landing, New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Kristy L Notarangelo | 110 Court St, Cromwell, CT 06416-1273 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Kristy Sinkovich | 185 Bretton St Apt A1, Bridgeport, CT 06606-4068 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Kristy Norbert | 8 N Ridge Ln, New London, CT 06320-4118 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Stephen M Beck | 9 Kristy Dr, Bethel, CT 06801-3001 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Kristy L Sonstroem | 227 Chestnut Tree Hill Rd, Oxford, CT 06478 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Laura L Rancourt · Ordner Rancourt | 463 Rand Rd, Industry, ME 04938-4002 | Licensed Practical Nurse | 2013-12-01 ~ 2014-11-30 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Kristy Rancourt | 4 Berkshire Blvd., Bethel, CT 06801 | Medication Administration Certification | 2014-06-16 ~ 2016-06-15 |
| Christopher C Rancourt | 4 Wades Landing, New Milford, CT 06776 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
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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).