PHETSAMON DILULLO (Credential# 1163497) 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.
PHETSAMON DILULLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010163. 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 466 Meadow St, Agawam, MA 01001-2208. The current status is active.
Licensee Name | PHETSAMON DILULLO |
Credential ID | 1163497 |
Credential Number | 58.010163 |
Credential Type | Licensed Clinical Social Worker |
Business Address |
466 Meadow St Agawam MA 01001-2208 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-03-01 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1223931 | MSW.000050 | Master's Level Social Worker | 2014-05-27 | 2017-04-01 - 2018-03-31 | INACTIVE |
Street Address | 466 MEADOW ST |
City | AGAWAM |
State | MA |
Zip Code | 01001-2208 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard N Dilullo | 466 Meadow St, Agawam, MA 01001 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew D Kazierad | 396 Meadow St, Agawam, MA 01001-2208 | Asbestos Abatement Supervisor | 2019-05-07 ~ 2019-11-30 |
Lexington Homes LLC | 396 Meadow St, Agawam, MA 01001-2208 | New Home Construction Contractor | 2010-10-08 ~ 2011-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
Find all Licenses in zip 01001 |
City | AGAWAM |
Zip Code | 01001 |
License Type | Licensed Clinical Social Worker |
License Type + County | Licensed Clinical Social Worker + AGAWAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
Amy Roe | 42 School St, New London, CT 06320-4611 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Wei Lin Lim | 9 Serangoon Ave 2, Singapore, SG 556134 | Licensed Clinical Social Worker | 2015-05-01 ~ 2016-04-30 |
Amy B Chace | P.o. Box 903, Brooklyn, CT 06234 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Elizabeth S Messer | Psc 482 Box 198, Fpo, 96362 | Licensed Clinical Social Worker | 2002-02-22 ~ 2003-02-28 |
Ann S Matthews | Po Box 1362, Millbrook, NY 12545 | Licensed Clinical Social Worker | ~ |
Steven Jean Paul | CT | Licensed Clinical Social Worker | ~ |
Ben Locasto | P.o. Box 11, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Amy T Ortiz-lopez | CT | Licensed Clinical Social Worker | ~ |
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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).