MARJORIE G HERZOG (Credential# 783679) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARJORIE G HERZOG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.005522. The credential type is licensed clinical social worker. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 6 Pheasant Hill Rd, Collinsville, CT 06019-3041. The current status is active.
| Licensee Name | MARJORIE G HERZOG |
| Credential ID | 783679 |
| Credential Number | 58.005522 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
6 Pheasant Hill Rd Collinsville CT 06019-3041 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-09-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-01 |
| Street Address | 6 PHEASANT HILL RD |
| City | COLLINSVILLE |
| State | CT |
| Zip Code | 06019-3041 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tara L Gay | 44 Pheasant Hill Rd, Collinsville, CT 06019-3041 | Massage Therapist | 2018-03-01 ~ 2020-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | COLLINSVILLE |
| Zip Code | 06019 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + COLLINSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jyll R Herzog Souto | 19 Wall St., Milford, CT 06460 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Marjorie G Hart | 35 Sherwood Ter, Old Saybrook, CT 06475-2123 | Licensed Clinical Social Worker | 2017-05-01 ~ 2018-04-30 |
| Marjorie A Laff | 132 East Putnam Ave, Cos Cob, CT 06807 | Licensed Clinical Social Worker | 1999-03-10 ~ 2000-04-30 |
| Marjorie D Farmer | 295 Pequot Ave, Mystic, CT 06355-1739 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Marjorie E Madan | 12 Marys Ln, Ridgefield, CT 06877-4322 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Marjorie Micklos | 338 Forest Rd, Milford, CT 06461-2730 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Marjorie Taylor | 10 W Cornwall Rd, Sharon, CT 06069-2100 | Licensed Clinical Social Worker | 2017-11-01 ~ 2018-10-31 |
| Marjorie A Prince | 211 Stanley Rd., Hamden, CT 06514 | Licensed Clinical Social Worker | 2002-03-13 ~ 2003-04-30 |
| Marjorie A Schneider | 65 Cross Hwy, Redding Center, CT 06875 | Licensed Clinical Social Worker | 2002-11-12 ~ 2003-12-31 |
| Marjorie J Askenase | 3 Briar Lane, Hamden, CT 06517 | Licensed Clinical Social Worker | 2012-02-01 ~ 2013-01-31 |
Please comment or provide details below to improve the information on MARJORIE G HERZOG.
| 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).