JOANNA FORNWALT (Credential# 1321578) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
JOANNA FORNWALT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.009348. The credential type is licensed clinical social worker. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 38 Oxford Dr, Enfield, CT 06082-2516. The current status is active.
| Licensee Name | JOANNA FORNWALT |
| Credential ID | 1321578 |
| Credential Number | 58.009348 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
38 Oxford Dr Enfield CT 06082-2516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-01-15 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-07-01 |
| Street Address | 38 OXFORD DR |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-2516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanna C Wood | Box 259, Pascoag, RI 02859 | Licensed Clinical Social Worker | 1999-04-06 ~ 2000-04-30 |
| Joanna R Flemons | 75 State St Fl 26, Boston, MA 02109-1827 | Licensed Clinical Social Worker | ~ |
| Joanna B Korsh | 100 Cummings Dr, Orange, CT 06477-1906 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Joanna A Hafner | 6 Belmar Rd, Hatboro, PA 19040-2008 | Licensed Clinical Social Worker | 2017-02-01 ~ 2018-01-31 |
| Joanna A Hurt-sargeant | 7 Old Oak Ct, Bloomfield, CT 06002-1791 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Joanna Alling | 51 Drumlin Rd, Westport, CT 06880 | Licensed Clinical Social Worker | 1998-07-27 ~ 1999-08-31 |
| Joanna Guldalian | 289 New Haven Ave., Milford, CT 06460 | Licensed Clinical Social Worker | 2008-10-21 ~ 2009-12-31 |
| Joanna Lynn Rudewicz | 1 Holly Rd, Cheshire, CT 06410 | Licensed Clinical Social Worker | 2019-12-20 ~ 2020-11-30 |
| Joanna Perez-silmon | 24 Lawrence Ln, Newington, CT 06111-4435 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Joanna St Pierre Hannon | 12 Bardwell St, Boston, MA 02130-3111 | Licensed Clinical Social Worker | 2012-07-01 ~ 2013-06-30 |
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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).