PORTIA PENDLETON (Credential# 1800740) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PORTIA PENDLETON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010977. The credential type is licensed clinical social worker. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 12 Rogers Lake Trail, Old Lyme, CT 06371. The current status is active.
| Licensee Name | PORTIA PENDLETON |
| Credential ID | 1800740 |
| Credential Number | 58.010977 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
12 Rogers Lake Trail Old Lyme CT 06371 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-10 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1521689 | MSW.004442 | Master's Level Social Worker | 2018-09-07 | 2019-05-01 - 2020-04-30 | ACTIVE IN RENEWAL |
| 1524164 | MSW-TEMP | Master's Level Social Worker - Temporary Permit | 2018-06-18 | 2018-06-18 - 2018-09-09 | INACTIVE |
| Street Address | 12 Rogers Lake Trail |
| City | Old Lyme |
| State | CT |
| Zip Code | 06371 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | Old Lyme |
| Zip Code | 06371 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + Old Lyme |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria Raffia | 61 Pendleton St, New Haven, CT 06511 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Theresa M Baber | 50 Pendleton Rd, Granby, CT 06035-2129 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Sheila Saunders | 131 Pendleton Street, New Haven, CT 06511 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Sharon L Pendleton-ponzani · Oebdketib | 4 Saw Mill Lane, Avon, CT 06001 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Brooke Keplinger Pendleton | 3203 West Franklin Street, Richmond, VA 23221-0581 | Licensed Clinical Social Worker | 2014-11-01 ~ 2015-10-31 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Portia Green | 80 Webster Street, New Haven, CT 06511 | Master's Level Social Worker | 2019-11-01 ~ 2020-10-31 |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Eva M Hill | # G4, Washington, DC 20008 | Licensed Clinical Social Worker | 2009-12-01 ~ 2010-11-30 |
| Laurie L Mcintosh | Po Box 603, Riverton, WY 82501-0080 | Licensed Clinical Social Worker | ~ |
Please comment or provide details below to improve the information on PORTIA PENDLETON.
| 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).