BRADLEY W BLOOM (Credential# 783879) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
BRADLEY W BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.005722. The credential type is licensed clinical social worker. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 1101 Mill Hill Rd, Southport, CT 06890-3020. The current status is active.
| Licensee Name | BRADLEY W BLOOM |
| Credential ID | 783879 |
| Credential Number | 58.005722 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
1101 Mill Hill Rd Southport CT 06890-3020 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-06-29 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-12-03 |
| Street Address | 1101 MILL HILL RD |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890-3020 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy T Bloom | 1101 Mill Hill Rd, Southport, CT 06890-3020 | Massage Therapist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leif Vik · Leif Vik Custom Builder | 1135 Mill Hill Rd, Southport, CT 06890-3020 | Home Improvement Contractor | 2020-06-10 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + SOUTHPORT |
| 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 |
| Jacqueline Bloom | 17 Rumpenmile Ave, Westport, CT 06880-5329 | Licensed Clinical Social Worker | 2017-09-01 ~ 2018-08-31 |
| Amy Bloom | 147 Thimble Island Rd, Branford, CT 06405-5722 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Meg Bloom | 167 West Rock Ave., New Haven, CT 06515 | Licensed Clinical Social Worker | 2005-05-20 ~ 2006-06-30 |
| Edythe Bloom | 51 Old Meadow Rd, West Hartford, CT 06117 | Licensed Clinical Social Worker | ~ 1995-05-31 |
| 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 |
| 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 |
Please comment or provide details below to improve the information on BRADLEY W BLOOM.
| 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).