LACY KORNILIEFF (Credential# 1518880) 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.
LACY KORNILIEFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010333. 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 19 Blissville Road, Lisbon, CT 06351. The current status is active.
| Licensee Name | LACY KORNILIEFF |
| Credential ID | 1518880 |
| Credential Number | 58.010333 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
19 Blissville Road Lisbon CT 06351 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-07 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1354807 | MSW.003369 | Master's Level Social Worker | 2016-07-06 | 2018-02-01 - 2019-01-31 | INACTIVE |
| Street Address | 19 Blissville Road |
| City | Lisbon |
| State | CT |
| Zip Code | 06351 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine L Stockwell | 471 Voluntown Road, Griswold, CT 06351 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Sandra L Conger | 494 Roode Rd, Griswold, CT 06351 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary E Malin | 11 Pequot Trail, Griswold, CT 06351 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara E Griffin | 30 Bishop Crossing Rd., Griswold, CT 06351 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Lisbon Mobil #85 | 107 River Rd, Lisbon, CT 06351 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Victoria M Arico | 57 Rimek Road, Lisbon, CT 06351 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ricky Robillard | 127 Griswold Dr., Jewett City, CT 06351 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Martha Ann Williams | 20 Stetson Rd, Griswold, CT 06351 | Notary Public Appointment | 2020-06-19 ~ 2025-06-30 |
| Sara R. Loarca | 68 Bergendahl Drive, Griswold, CT 06351 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Jeanette Dascomb | 204 North Main Street, Jewett City, CT 06351 | Medication Administration Certification | ~ |
| Find all Licenses in zip 06351 | |||
| City | Lisbon |
| Zip Code | 06351 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + Lisbon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Lacy | 57 Yale Sve., Middlebury, CT 06762 | Licensed Clinical Social Worker | ~ |
| Lacy Elaine Milano | 102 Putnam Road, Pomfret, CT 06258 | Licensed Clinical Social Worker | ~ |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Wayne H Bedurtha | 26 Rex Rd, Lisbon, CT 06351-2821 | Licensed Clinical Social Worker | ~ |
| Frances Becker | 75 Cos Cob Ave Apt 16, Cos Cob, CT 06807-2150 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Wei Lin Lim | 9 Serangoon Ave 2, Singapore, SG 556134 | Licensed Clinical Social Worker | 2015-05-01 ~ 2016-04-30 |
| Michelle A Gramling | Psc 50 Box 242, Apo, AE 09494-0003 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Elizabeth S Messer | Psc 482 Box 198, Fpo, 96362 | Licensed Clinical Social Worker | 2002-02-22 ~ 2003-02-28 |
| Amy C Sheppard | 257 Lester Rd, Griswold, CT 06351-1421 | Licensed Clinical Social Worker | ~ |
Please comment or provide details below to improve the information on LACY KORNILIEFF.
| 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).