SUSAN E FORMAN
Licensed Clinical Social Worker


Address: 46 White Fall Lane, New Canaan, CT 06840

SUSAN E FORMAN (Credential# 779523) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

SUSAN E FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.001232. The credential type is licensed clinical social worker. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 46 White Fall Lane, New Canaan, CT 06840. The current status is active.

Basic Information

Licensee Name SUSAN E FORMAN
Credential ID 779523
Credential Number 58.001232
Credential Type Licensed Clinical Social Worker
Business Address 46 White Fall Lane
New Canaan
CT 06840
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1986-09-30
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-01

Office Location

Street Address 46 WHITE FALL LANE
City NEW CANAAN
State CT
Zip Code 06840

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
49 Midwood LLC 97 Dans Hwy, New Canaan, CT 06840 New Home Construction Contractor 2020-06-26 ~ 2021-09-30
Hyun Park 15 Locust Ave, New Canaan, CT 06840 Esthetician 2020-06-26 ~ 2022-04-30
Guy R Mazzola 1484 Oenoke Ridge, New Canaan, CT 06840 Public Weigher 2020-07-01 ~ 2021-06-30
Mairin E Mara 184 Lukes Wood Rd, New Canaan, CT 06840 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Hannah Simpson 33 Sleepy Hollow Road, New Canaan, CT 06840 Esthetician ~
Susan Mcclellan Valk 301 Oenoke Ridge Road, New Canaan, CT 06840 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
New Canaan Gulf · Haviland Ent Ltd Dba 36 South Ave, New Canaan, CT 06840 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Claire Cheng 226 Buttery Road, New Canaan, CT 06840 Marital and Family Therapist Associate 2020-06-24 ~ 2022-06-24
Joes Pizza 23 Locust Avenue, New Canaan, CT 06840 Bakery 2020-07-01 ~ 2021-06-30
Kathleen Mary Berchelmann 711 Silvermine Rd, New Canaan, Ct, CT 06840 Physician/surgeon 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06840

Competitor

Search similar business entities

City NEW CANAAN
Zip Code 06840
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + NEW CANAAN

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Susan K Cook 48 Don Bob Rd, Stamford, CT 06903 Licensed Clinical Social Worker 2020-05-01 ~ 2021-04-30
Susan A Desousa 25 Wadsworth St, Manchester, CT 06040-4225 Licensed Clinical Social Worker ~
Susan M Benner 19 Harold St, Cos Cob, CT 06807-2131 Licensed Clinical Social Worker 2019-12-01 ~ 2020-11-30
Susan G Weegar Rr #2, Wellfleet, MA 02667 Licensed Clinical Social Worker ~ 1995-03-31
Susan B Scher Box 228, Tuxedo, NY 10987 Licensed Clinical Social Worker ~ 1995-10-31
Susan M Gubilee 11 Russell Ave, Portland, CT 06480-1433 Licensed Clinical Social Worker ~
Susan Winship 10 Meadowdam Rd, Lincoln, MA 01773-3811 Licensed Clinical Social Worker ~ 1995-10-31
Susan Rosenberger 949 Bridgeport Ave, Milford, CT 06460-3142 Licensed Clinical Social Worker 2019-12-01 ~ 2020-11-30
Susan R Hill 119 Bishop St, New Haven, CT 06511-7308 Licensed Clinical Social Worker 2016-04-01 ~ 2017-03-31
Susan R Greenwald 12 Alfred Ln, Stamford, CT 06902-1238 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31

Improve Information

Please comment or provide details below to improve the information on SUSAN E FORMAN.

Dataset Information

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).

Trending Searches