SHANNON KLOCK (Credential# 2055400) is licensed (Master's Level Social Worker - Temporary Permit) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2020. The license expiration date date is September 11, 2020. The license status is ACTIVE.
SHANNON KLOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MSW-TEMP. The credential type is master's level social worker - temporary permit. The effective date is June 17, 2020. The expiration date is September 11, 2020. The business address is 110 Collie Brook Rd, East Hampton, CT 06424. The current status is active.
| Licensee Name | SHANNON KLOCK |
| Credential ID | 2055400 |
| Credential Number | MSW-TEMP |
| Credential Type | Master's Level Social Worker - Temporary Permit |
| Credential SubCategory | TEMP |
| Business Address |
110 Collie Brook Rd East Hampton CT 06424 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-17 |
| Effective Date | 2020-06-17 |
| Expiration Date | 2020-09-11 |
| Refresh Date | 2020-06-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2056352 | MSW | Master's Level Social Worker | - | PENDING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Klock | 201 W. Main Street, Plantsville, CT 06479 | Medication Administration Certification | 2015-11-21 ~ 2017-11-20 |
| Street Address | 110 Collie Brook Rd |
| City | East Hampton |
| State | CT |
| Zip Code | 06424 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert P Zipoli · Zip's Home Improvement | 38 Town Farm Rd, East Hampton, CT 06424 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Timothy R Cirillo | 7 Bevin Blvd., East Hampton, CT 06424 | Sub-surface Sewage Cleaner | 2020-07-01 ~ 2021-06-30 |
| Quentin D Walton | 15 Sherry Dr, East Hampton, CT 06424 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Stephanie M. Miller | 11 Browning Drive, East Hampton, CT 06424 | Emergency Medical Technician | 2020-07-01 ~ 2022-06-30 |
| Humphreys Pharmacal Inc | 31 East High Street, East Hampton, CT 06424 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Robert A Sehl | 72 Childs Road, East Hampton, CT 06424 | Water Treatment Plant Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Debra Ann Licht Mayer | 28 North Cone Road, East Hampton, CT 06424 | Registered Nurse | ~ |
| Patrick U Hammond | 66 Charles Mary Dr, East Hampton, CT 06424 | Backflow Prevention Device Tester | 2020-04-01 ~ 2023-03-31 |
| Kayla Commesso | 7 Sherry Dr, East Hampton, CT 06424 | Medication Administration Certification | 2020-06-22 ~ 2022-06-22 |
| Lauren R Mechanic | 11 South Ridge, East Hampton, CT 06424 | Barber | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06424 | |||
| City | East Hampton |
| Zip Code | 06424 |
| License Type | Master's Level Social Worker - Temporary Permit |
| License Type + County | Master's Level Social Worker - Temporary Permit + East Hampton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret R Berge | 375 May St, Naugatuck, CT 06770 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-14 |
| Scott Enright | 91 Elm St., Manchester, CT 06040 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-07 |
| Colleen M. Schmelter | 58 Sunnyview Dr, Vernon, CT 06066-5119 | Master's Level Social Worker - Temporary Permit | 2019-06-13 ~ 2019-09-08 |
| Tara M Alosky | 515 Pleasant St, Willimantic, CT 06226 | Master's Level Social Worker - Temporary Permit | 2020-05-27 ~ 2020-09-07 |
| Widline Brumaire | 64 Quarry St, Bridgeport, CT 06606-4336 | Master's Level Social Worker - Temporary Permit | 2018-09-11 ~ 1900-01-01 |
| Domina Dibiase | 495 S Curtis St, Meriden, CT 06450 | Master's Level Social Worker - Temporary Permit | 2020-05-13 ~ 2020-09-06 |
| Elena Mangan | 103 Crescent Rd, Glastonbury, CT 06033-3308 | Master's Level Social Worker - Temporary Permit | 2018-05-25 ~ 2018-09-09 |
| Stephanie F Borba | 11 Shadee Ln, Waterbury, CT 06706-2636 | Master's Level Social Worker - Temporary Permit | 2020-06-05 ~ 1900-01-01 |
| Thais Ortolaza | 335 Linnmoore St, Hartford, CT 06106-4235 | Master's Level Social Worker - Temporary Permit | 2020-05-22 ~ 2020-09-07 |
| Jennifer Cohen | 11 Schooner Dr, Mystic, CT 06355 | Master's Level Social Worker - Temporary Permit | 2020-06-03 ~ 2020-09-17 |
Please comment or provide details below to improve the information on SHANNON KLOCK.
| 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).