STEPHANIE FAGAN (Credential# 1378670) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2018. The license status is INACTIVE.
STEPHANIE FAGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.009672. The credential type is licensed clinical social worker. The effective date is July 1, 2017. The expiration date is June 30, 2018. The business address is 4115 Wisconsin Ave Nw Apt 501, Washington, DC 20016-2852. The current status is inactive.
| Licensee Name | STEPHANIE FAGAN |
| Credential ID | 1378670 |
| Credential Number | 58.009672 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
4115 Wisconsin Ave Nw Apt 501 Washington DC 20016-2852 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-12-21 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2018-06-30 |
| Refresh Date | 2018-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1273331 | MSW.001237 | Master's Level Social Worker | 2015-04-09 | 2016-07-01 - 2017-06-30 | INACTIVE |
| Street Address | 4115 WISCONSIN AVE NW APT 501 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2852 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nemanja Rodic | 4712 Windom Place Nw, Washington, DC 20016 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Frank J Boruch | 5149 Sherier Place Nw, Washington, DC 20016 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Antolin C Trinidad | 4228 Wisconsin Avenue Nw, Washington, DC 20016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Protestant Episcopal Cathedral Foundation | Mount Saint Alban, Washington, DC 20016 | Public Charity-exempt From Financial Requirements | 2011-08-25 ~ |
| Beth A Leeman Markowski | Apt 523, Washington, DC 20016 | Physician/surgeon | ~ |
| Alphatec PC | 3820 Albermarle St Nw, Washington, DC 20016 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| George R Farrah | 4337 Chesapeake Street N.w., Washington, DC 20016 | Certified Public Accountant Certificate | ~ |
| Pcrm Legislative Fund | 5100 Wisconsin Ave., Nw, Suite 400, Washington, DC 20016 | Public Charity | 2010-12-01 ~ 2011-11-30 |
| Caroline A Cregan Md | 3641 39th St Nw Unit C309, Washington, DC 20016 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Anthony S Barnes | 4514 Hawthorne St Nw, Washington, DC 20016 | Architect | 2010-08-01 ~ 2011-07-31 |
| Find all Licenses in zip 20016 | |||
| City | WASHINGTON |
| Zip Code | 20016 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + WASHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John L Fagan | 155 Ciderbrook Dr, Wethersfield, CT 06109 | Licensed Clinical Social Worker | 2002-06-04 ~ 2003-06-30 |
| Terese G Fagan | 26 Bent Rd, Windsor, CT 06095-1631 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Alicia M Fagan | 51 N Main St Ste 3d, Southington, CT 06489-2515 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Elaine E Fagan | 720 East Broadway, Stratford, CT 06615 | Licensed Clinical Social Worker | 2004-03-09 ~ 2005-04-30 |
| Kaitlyn M Fagan | 204 Margaret Drive, South Windsor, CT 06074 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Susan M Fagan | 89 South Ridgeland Road, Wallingford, CT 06492 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Stephanie R Hall | 77 Grant St, Hartford, CT 06106-4108 | Licensed Clinical Social Worker | ~ |
| Stephanie L Antonelli | 62 Knoll St, Bristol, CT 06010-5563 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stephanie Morelli | 34 Forest St, Plainville, CT 06062-2126 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Stephanie V Jasmin | 123 Englewood Rd, Longmeadow, MA 01106-1334 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
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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).