SAMANTHA FORST (Credential# 1660876) is licensed (Master's Level Social Worker) with Connecticut Department of Consumer Protection. The license effective date is September 5, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
SAMANTHA FORST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MSW.004909. The credential type is master's level social worker. The effective date is September 5, 2019. The expiration date is August 31, 2020. The business address is 48 Wolf Den Road, Pomfret Center, CT 06259. The current status is active.
| Licensee Name | SAMANTHA FORST |
| Credential ID | 1660876 |
| Credential Number | MSW.004909 |
| Credential Type | Master's Level Social Worker |
| Business Address |
48 Wolf Den Road Pomfret Center CT 06259 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-05 |
| Effective Date | 2019-09-05 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-09-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1656317 | MSW-TEMP | Master's Level Social Worker - Temporary Permit | 2019-06-05 | 2019-06-05 - 2019-09-09 | INACTIVE |
| Street Address | 48 Wolf Den Road |
| City | Pomfret Center |
| State | CT |
| Zip Code | 06259 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A. Poland | 123 Ragged Hill Road, Pomfret Center, CT 06259 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Saara A Slevinsky · Kahonen | 244 Paine Road, Pomfret Center, CT 06259 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Sandra Fredrickson | 135 Cooney Road, Pomfret Center, CT 06259 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lillian R Erskine | 443 Hampton Road, Abington, CT 06259 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gary J Pazienza | 120 Cooney Road, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer L Jasmin | 524 Mashamoquet Rd, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Irina P Ionkina | 185 Babbitt Hill Road, Pomfret Center, CT 06259 | Master's Level Social Worker | 2019-01-01 ~ 2019-12-31 |
| Donna J Navarro | 88 Freedley Rd, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer W Mahr | 89 Covell Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Philip Raiford | 172 Peterson Rd, Pomfret Center, CT 06259 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06259 | |||
| City | Pomfret Center |
| Zip Code | 06259 |
| License Type | Master's Level Social Worker |
| License Type + County | Master's Level Social Worker + Pomfret Center |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha Silva | 50 Sills Dr, Oakville, CT 06779 | Master's Level Social Worker | ~ |
| Samantha D Vinci | 369 Coe Ave Apt 109, Meriden, CT 06451-3757 | Master's Level Social Worker | 2019-06-01 ~ 2020-05-31 |
| Samantha Rival | 10 Beach Rd, Winthrop, MA 02152 | Master's Level Social Worker | ~ |
| Samantha C Steglitz | 57 Meadowview Dr, Trumbull, CT 06611-1964 | Master's Level Social Worker | 2019-07-01 ~ 2020-06-30 |
| Samantha Alexis Aldridge | 454 B1 Willard Ave, Newington, CT 06111 | Master's Level Social Worker | ~ |
| Samantha Dunnum | 94 Old Coach Hwy, Hamden, CT 06518-2025 | Master's Level Social Worker | 2019-11-01 ~ 2020-10-31 |
| Samantha J Inniss | 74 Tamarack Drive, Windsor, CT 06095 | Master's Level Social Worker | ~ |
| Samantha Arnold | 861 S Main St Apt 19, Plantsville, CT 06479-1533 | Master's Level Social Worker | 2016-12-01 ~ 2017-11-30 |
| Samantha Boisvert | 263 Gillette Rd, New Hartford, CT 06057 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Samantha Church | 734 Prospect Ave, Hartford, CT 06105 | Master's Level Social Worker | 2017-06-01 ~ 2018-05-31 |
Please comment or provide details below to improve the information on SAMANTHA FORST.
| 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).