KELLIANN M COSTANZO (Credential# 1067986) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KELLIANN M COSTANZO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.008014. The credential type is licensed clinical social worker. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 83 Spring Glen Ter, Hamden, CT 06517-1536. The current status is active.
| Licensee Name | KELLIANN M COSTANZO |
| Credential ID | 1067986 |
| Credential Number | 58.008014 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
83 Spring Glen Ter Hamden CT 06517-1536 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-07-11 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-05 |
| Street Address | 83 SPRING GLEN TER |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-1536 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney Higgins | 51 Spring Glen Ter, Hamden, CT 06517-1536 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary L Costanzo | 1028 Farmington Ave Apt 3e, West Hartford, CT 06107-2120 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| 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 | ~ |
| Amy V Jaffe | 601 W End Ave, New York, NY 10024-1611 | Licensed Clinical Social Worker | 2015-07-01 ~ 2016-06-30 |
| Steven Jean Paul | CT | Licensed Clinical Social Worker | ~ |
| Wayne H Bedurtha | 26 Rex Rd, Lisbon, CT 06351-2821 | Licensed Clinical Social Worker | ~ |
| Amy Roe | 42 School St, New London, CT 06320-4611 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Laurie L Mcintosh | Po Box 603, Riverton, WY 82501-0080 | Licensed Clinical Social Worker | ~ |
| Huuthanh Le | 114 Oxford St, Bridgeport, CT 06606-1939 | Licensed Clinical Social Worker | ~ |
Please comment or provide details below to improve the information on KELLIANN M COSTANZO.
| 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).