EDMUND J SMITH (Credential# 1219047) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
EDMUND J SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.008902. The credential type is licensed clinical social worker. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 53 Codfish Falls Rd, Storrs Mansfield, CT 06268-1442. The current status is inactive.
| Licensee Name | EDMUND J SMITH |
| Credential ID | 1219047 |
| Credential Number | 58.008902 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
53 Codfish Falls Rd Storrs Mansfield CT 06268-1442 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-01-06 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 53 CODFISH FALLS RD |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268-1442 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rhonda M Brouillard | 53 Codfish Falls Rd, Storrs Mansfield, CT 06268-1442 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trent J Minor | 51 Codfish Falls Rd, Storrs, CT 06268-1442 | Medical Marijuana Producer Employee | 2018-05-24 ~ 2019-05-23 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + STORRS MANSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deirdre A Plyer | 35 Edmund St, Old Saybrook, CT 06475-2422 | Licensed Clinical Social Worker | 2015-02-01 ~ 2016-01-31 |
| Sarah K Livingston | 105 Edmund St, Newington, CT 06111-2545 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Jacqueline M Smith · Smith | 106 West St Apt B8, Rocky Hill, CT 06067-3568 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Kristina L Smith · Smith | 15 Worcester Rd, Vernon Rockville, CT 06066-3901 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Latasha L Smith | 77 Raymond Ave # 2a, Poughkeepsie, NY 12603-3130 | Licensed Clinical Social Worker | ~ |
| Constance J Smith | 955 Mix Ave, Hamden, CT 06514-5123 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Jessica L Smith | 107 Welch Rd., Southington, CT 06489 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Annie B Smith | 170 Birdseye St Apt C3, Bridgeport, CT 06604-2209 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Joslyn C Smith | 979 - 3a State St, New Haven, CT 06511 | Licensed Clinical Social Worker | ~ 1997-05-31 |
| Janessa E Smith | 103 Miller Rd, Bethany, CT 06524-3246 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on EDMUND J SMITH.
| 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).