CHANNE FODEMAN (Credential# 779383) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CHANNE FODEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.001072. The credential type is licensed clinical social worker. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 12 Hillspoint Rd, Westport, CT 06880. The current status is active.
| Licensee Name | CHANNE FODEMAN |
| Credential ID | 779383 |
| Credential Number | 58.001072 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
12 Hillspoint Rd Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-09-30 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-01 |
| Street Address | 12 HILLSPOINT RD |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Pam F Holmes | 62 Carter Rd, Kent, CT 06757 | Licensed Clinical Social Worker | ~ |
| Elizabeth S Messer | Psc 482 Box 198, Fpo, 96362 | Licensed Clinical Social Worker | 2002-02-22 ~ 2003-02-28 |
| Ann M Dipierdomenico | 20 Dennison Rd, Essex, CT 06426-1350 | Licensed Clinical Social Worker | ~ |
| Huuthanh Le | 114 Oxford St, Bridgeport, CT 06606-1939 | Licensed Clinical Social Worker | ~ |
| Michelle A Gramling | Psc 50 Box 242, Apo, AE 09494-0003 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Amy B Chace | P.o. Box 903, Brooklyn, CT 06234 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Amy T Ortiz-lopez | CT | Licensed Clinical Social Worker | ~ |
| Regina A Colangelo | Po Box 226, Rye, NY 10580 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on CHANNE FODEMAN.
| 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).