SHENANDOAH GRACE PETTIT (Credential# 1392565) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHENANDOAH GRACE PETTIT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.009716. The credential type is licensed clinical social worker. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 123 Whitehall Dr, East Hartford, CT 06118-3062. The current status is active.
| Licensee Name | SHENANDOAH GRACE PETTIT |
| Credential ID | 1392565 |
| Credential Number | 58.009716 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
123 Whitehall Dr East Hartford CT 06118-3062 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-07 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1663092 | RES.0812922 | REAL ESTATE SALESPERSON | 2019-07-02 | 2019-07-02 - 2020-05-31 | APPROVED |
| 1298823 | MSW.002170 | Master's Level Social Worker | 2015-08-07 | 2016-03-01 - 2017-02-28 | INACTIVE |
| 1284478 | MSW-TEMP | Master's Level Social Worker - Temporary Permit | 2015-07-21 | 2015-07-21 - 2015-08-07 | INACTIVE |
| Street Address | 123 WHITEHALL DR |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118-3062 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Afiya Y Smith | 131 Whitehall Dr, East Hartford, CT 06118-3062 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Lisa Hersey | 147 Whitehall Dr, East Hartford, CT 06118-3062 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hiep Thanh Nguyen | 65 Cloverdale Dr, East Hartford, CT 06118 | Nail Technician | 2020-06-26 ~ 2021-11-30 |
| Andrene Bennett | 34 Lanham Drive, East Hartford, CT 06118 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Jennifer L Smith | 399 Hills Street, East Hartford, CT 06118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Allisia Nicole Green | 75 Rowland Drive, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Jason Paul Cianci | 3 Roxbury Rd, East Hartford, CT 06118 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Laura E Lopez | 650 Forbes St, East Hartford, CT 06118 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dennis Frimpong-manso | 72 Primrose Drive, East Hartford, CT 06118 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Tabitha L Harris | 31 High Street #7204, East Hartford, CT 06118 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kaitlyn Kaminski | 473 Hills Street, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Francisca Quainoo | 93 Deborah Drive, East Hartford, CT 06118 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Find all Licenses in zip 06118 | |||
| City | EAST HARTFORD |
| Zip Code | 06118 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaime H Goldberg | 850 S Shenandoah St Apt 104, Los Angeles, CA 90035-1764 | Licensed Clinical Social Worker | 2013-01-01 ~ 2013-12-31 |
| Sarah S Monteleone | 486 Grace Trl, Orange, CT 06477-2619 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Grace E Flores | 11 Crystal Ln, Bloomfield, CT 06002-3448 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Grace Moskowitz | 353 Central Ave, New Haven, CT 06515 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Grace F Anderson | 41 Deerfield Ln, Bethany, CT 06524-3037 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Grace Godwin Berman | 584 Chapel St Apt 4, New Haven, CT 06511-6980 | Licensed Clinical Social Worker | 2018-03-26 ~ 2018-07-31 |
| Grace M Cavallo | 250 Honey Hill Rd, Watertown, CT 06795-1404 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Michelle Grace Sylvester | 15 Fortune Rd W, Middletown, NY 10941 | Licensed Clinical Social Worker | 2020-06-03 ~ 2020-10-31 |
| Grace B Surdyka · Borselle | 30 Riverdale Rd, Westerly, RI 02891-2824 | Licensed Clinical Social Worker | 2018-05-01 ~ 2019-04-30 |
| Roberta L Colasanti | 50 Grace Circle, Marlborough, MA 01752 | Licensed Clinical Social Worker | 2001-06-20 ~ 2002-05-31 |
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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).