MICHELLE JORDANA BLOOM (Credential# 1807656) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is February 3, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHELLE JORDANA BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010939. The credential type is licensed clinical social worker. The effective date is February 3, 2020. The expiration date is February 28, 2021. The business address is 84 Brinckerhoff Avenue, Stamford, CT 06905. The current status is active.
| Licensee Name | MICHELLE JORDANA BLOOM |
| Credential ID | 1807656 |
| Credential Number | 58.010939 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
84 Brinckerhoff Avenue Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-03 |
| Effective Date | 2020-02-03 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| Street Address | 84 brinckerhoff avenue |
| City | stamford |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | stamford |
| Zip Code | 06905 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marjorie E Bloom · Bloom | 132 Beekman Drive, Agawam, MA 01001 | Licensed Clinical Social Worker | 2010-08-01 ~ 2011-07-31 |
| Toni M Bloom | Po Box 336, Brightwood, OR 97011 | Licensed Clinical Social Worker | 1995-06-22 ~ 1996-07-31 |
| Meg Bloom | 167 West Rock Ave., New Haven, CT 06515 | Licensed Clinical Social Worker | 2005-05-20 ~ 2006-06-30 |
| Amy Bloom | 147 Thimble Island Rd, Branford, CT 06405-5722 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Jacqueline Bloom | 17 Rumpenmile Ave, Westport, CT 06880-5329 | Licensed Clinical Social Worker | 2017-09-01 ~ 2018-08-31 |
| Debra K Bloom | 39 Faulkner Drive, Guilford, CT 06437 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Luz Fonseca | 1316 Dew Bloom Road, Valrico, FL 33594 | Licensed Clinical Social Worker | 1998-11-18 ~ 2000-01-31 |
| Edythe Bloom | 51 Old Meadow Rd, West Hartford, CT 06117 | Licensed Clinical Social Worker | ~ 1995-05-31 |
| Bradley W Bloom | 1101 Mill Hill Rd, Southport, CT 06890-3020 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Sholom Bloom | 51 Old Meadow Road, West Hartford, CT 06117 | Licensed Clinical Social Worker | ~ 1995-10-31 |
Please comment or provide details below to improve the information on MICHELLE JORDANA BLOOM.
| 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).