AMY BLOOM
Licensed Clinical Social Worker


Address: 147 Thimble Island Rd, Branford, CT 06405-5722

AMY BLOOM (Credential# 779773) 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.

Business Overview

AMY BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.001508. 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 147 Thimble Island Rd, Branford, CT 06405-5722. The current status is active.

Basic Information

Licensee Name AMY BLOOM
Credential ID 779773
Credential Number 58.001508
Credential Type Licensed Clinical Social Worker
Business Address 147 Thimble Island Rd
Branford
CT 06405-5722
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1986-10-01
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-01

Other locations

Licensee Name Office Address Credential Effective / Expiration
Amy Bloom 80 Whitney St., Hartford, CT 06105 Medication Administration Certification 2012-08-11 ~ 2014-08-10

Office Location

Street Address 147 THIMBLE ISLAND RD
City BRANFORD
State CT
Zip Code 06405-5722

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Raymond M Johnson 39 Bayberry Lane, Branford, CT 06405 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kirsten M Ranciato 288 East Main Street, Branford, CT 06405 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Bimala Khadka Thapa 726 Robert Frost Dr., Branford, CT 06405 Nail Technician ~
Paul E Basile 42 Valley Brook Road South, Branford, CT 06405 Perfusionist 2020-08-01 ~ 2021-07-31
Lupe Monica Placencia-muy 100 East Main Street 2nd Fl, Branford, CT 06405 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-02-28
Bridget J Jennings 159 Queach Road, Branford, CT 06405 Registered Nurse 2020-09-01 ~ 2021-08-31
Ujeli Acharya 21 Burban Drive, Branford, CT 06405 Nail Technician ~
Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
Gita Thapa 94 Village Lane, Branford, CT 06405 Nail Technician ~
Cycle Venture Partners Fund I Lp - Lumeda Series 1 50 Limewood Avenue, Branford, CT 06405 Securities - Exemptions 2020-06-17 ~
Find all Licenses in zip 06405

Competitor

Search similar business entities

City BRANFORD
Zip Code 06405
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + BRANFORD

Similar businesses

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
Jacqueline Bloom 17 Rumpenmile Ave, Westport, CT 06880-5329 Licensed Clinical Social Worker 2017-09-01 ~ 2018-08-31
Luz Fonseca 1316 Dew Bloom Road, Valrico, FL 33594 Licensed Clinical Social Worker 1998-11-18 ~ 2000-01-31
Debra K Bloom 39 Faulkner Drive, Guilford, CT 06437 Licensed Clinical Social Worker 2020-04-01 ~ 2021-03-31
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
Michelle Jordana Bloom 84 Brinckerhoff Avenue, Stamford, CT 06905 Licensed Clinical Social Worker 2020-02-03 ~ 2021-02-28

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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).

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