MIRIAM BETH SHABAZZ (Credential# 1350340) is licensed (Master's Level Social Worker) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.
MIRIAM BETH SHABAZZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MSW.003466. The credential type is master's level social worker. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 424 Whitney Ave, New Haven, CT 06511. The current status is inactive.
| Licensee Name | MIRIAM BETH SHABAZZ |
| Credential ID | 1350340 |
| Credential Number | MSW.003466 |
| Credential Type | Master's Level Social Worker |
| Business Address |
424 Whitney Ave New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-08-17 |
| Effective Date | 2018-06-01 |
| Expiration Date | 2019-05-31 |
| Refresh Date | 2019-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1350339 | MSW-TEMP | Master's Level Social Worker - Temporary Permit | - | EXPIRED APPLICATION |
| Street Address | 424 Whitney ave |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George N Deane | 424 Whitney Ave, New Haven, CT 06500 | Notary Public Appointment | 1957-08-30 ~ 1962-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | New Haven |
| Zip Code | 06511 |
| License Type | Master's Level Social Worker |
| License Type + County | Master's Level Social Worker + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miriam Lytton Zucker | 4 Fairwood Farms Drive, West Hartford, CT 06107 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
| Leslie Beth Epstein | 498 W End Ave Apt 4a, New York, NY 10024-4315 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
| Beth Segaloff | 191 Catherine Ter, Fairfield, CT 06824-6463 | Master's Level Social Worker | 2019-06-01 ~ 2020-05-31 |
| Emily Beth Boldt | 122 Somerset Drive, Patterson, NY 12563 | Master's Level Social Worker | ~ |
| Beth S Landolina | 82 Evergreen Drive, Tolland, CT 06084 | Master's Level Social Worker | 2019-08-01 ~ 2020-07-31 |
| Sarah Beth Greenblatt | 190 Wooster St Apt 40, New Haven, CT 06511-5763 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| Kayla Beth Lathrop | 121 Pautipaug Hill Rd., Baltic, CT 06330 | Master's Level Social Worker | ~ |
| Beth Gaillard | 165 Meadow Park Dr, Milford, CT 06461-2623 | Master's Level Social Worker | 2019-09-01 ~ 2020-08-31 |
| Rebecca Beth Halbert | 58 Williamsburg Drive, Orange, CT 06477 | Master's Level Social Worker | 2019-08-01 ~ 2020-07-31 |
| Alisa Beth Oppenheim | 2270 Downs Rd, Hamden, CT 06518-1004 | Master's Level Social Worker | 2019-11-01 ~ 2020-11-30 |
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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).