TAVIA-SIMONE M BASCUINE (Credential# 1519967) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is September 12, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
TAVIA-SIMONE M BASCUINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010762. The credential type is licensed clinical social worker. The effective date is September 12, 2019. The expiration date is September 30, 2020. The business address is 88 Mary Avenue, Stratford, CT 06614. The current status is active.
| Licensee Name | TAVIA-SIMONE M BASCUINE |
| Credential ID | 1519967 |
| Credential Number | 58.010762 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
88 Mary Avenue Stratford CT 06614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-12 |
| Effective Date | 2019-09-12 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-10-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1293587 | MSW.002363 | Master's Level Social Worker | 2015-09-01 | 2018-10-01 - 2019-09-30 | INACTIVE |
| 1289873 | MSW-TEMP | Master's Level Social Worker - Temporary Permit | 2015-06-15 | 2015-06-15 - 2015-08-29 | INACTIVE |
| Street Address | 88 Mary Avenue |
| City | Stratford |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia A Glasford | 88 Mary Avenue, Stratford, CT 06614 | Notary Public Appointment | 2018-05-17 ~ 2023-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | Stratford |
| Zip Code | 06614 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + Stratford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tavia Sydonie Briscoe | 1 Main St Apt A5, Manchester, CT 06042-3154 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Melissa A Simone | 25 Kelseytown Rd, Killingworth, CT 06419-1401 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Lisa Simone | 6 Boysen Drive, Bloomfield, CT 06002 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-10-31 |
| Monique N Simone | 8 Island Ln, West Haven, CT 06516-6200 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Sarah G Simone | 12598 Bentwood Farms Drive, Pickerington, OH 43147 | Licensed Clinical Social Worker | 2002-01-15 ~ 2003-02-28 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Amy B Chace | P.o. Box 903, Brooklyn, CT 06234 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Qur-an H Webb | 31 Trinity St, New Britain, CT 06051-3416 | Licensed Clinical Social Worker | ~ |
| Jessica L Greenshields | 12 Ovens St, Vic, 3013 | Licensed Clinical Social Worker | ~ |
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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).