KRISTEN E FORMANEK (Credential# 1681869) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
KRISTEN E FORMANEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010816. The credential type is licensed clinical social worker. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 17 Chelsea Ln, East Granby, CT 06026-9635. The current status is active.
| Licensee Name | KRISTEN E FORMANEK |
| Credential ID | 1681869 |
| Credential Number | 58.010816 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
17 Chelsea Ln East Granby CT 06026-9635 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-23 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1307075 | MSW.002317 | Master's Level Social Worker | 2015-08-26 | 2019-01-01 - 2019-12-31 | INACTIVE |
| Street Address | 17 CHELSEA LN |
| City | EAST GRANBY |
| State | CT |
| Zip Code | 06026-9635 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason A Isner | 17 Chelsea Ln, East Granby, CT 06026-9635 | Emergency Medical Technician | 2014-06-30 ~ 2017-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lori R Maglieri | 8 Longview Dr, East Granby, CT 06026 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Donna R Baker-gilroy · Baker | 48 Hatchet Hill Lane, East Granby, CT 06026 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Steven R Porter | 31 Ford St Apt 2, East Granby, CT 06026 | Youth Camp Director | 2020-06-22 ~ |
| Keith Mckinney | 8 Schoolhouse Landing, East Granby, CT 06026 | Medication Administration Certification | 2020-06-22 ~ 2022-06-22 |
| Jill Mcgarry Lnm | 12 Southwood Ln, East Granby, CT 06026 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Fun Miller | 5 Old Church Rd, East Granby, CT 06026 | Nail Technician | 2020-06-13 ~ 2021-09-30 |
| Patricia A Moon | 32 Brighton Drive, East Granby, CT 06026 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sydney Rose Jeanloz | 135 Spoonville Rd, East Granby, CT 06026 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Megan M Rosol | 7 Sage Lane, East Granby, CT 06026 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Vanessa Martin | 7 Stark Drive, East Granby, CT 06026 | Esthetician | ~ |
| Find all Licenses in zip 06026 | |||
| City | EAST GRANBY |
| Zip Code | 06026 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + EAST GRANBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen E Wiltshire | 544 Judd Rd, Southbury, CT 06488-1938 | Licensed Clinical Social Worker | ~ |
| Kristen Charpentier | 200 Oak St # A, Glastonbury, CT 06033-2320 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Kristen N Browne | 8 Ernel Dr, Riverside, CT 06878-1533 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Kristen J Good | 34 Weston Rd, Westport, CT 06880-1255 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Kristen A Bessette | Po Box 4942, Waterbury, CT 06704-0942 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Kristen G Lafontaine | 61 Brookview Rd, Windsor, CT 06095 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Kristen A Wawrzyniak | 203 Surrey Dr, Orange, CT 06477-1724 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Kristen C Hespeler | 20 Connally Dr, Old Saybrook, CT 06475-1162 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Kristen Pavlik | 302 Tuttle Rd, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Kristen L Tassiello | 129 Buttonball Rd, Orange, CT 06477-1802 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
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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).