VIVIAN M MEDINA (Credential# 781998) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is July 27, 1998. The license expiration date date is July 31, 1999. The license status is INACTIVE.
VIVIAN M MEDINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.003834. The credential type is licensed clinical social worker. The effective date is July 27, 1998. The expiration date is July 31, 1999. The business address is 145 West 105 Street, New York, NY 10025. The current status is inactive.
| Licensee Name | VIVIAN M MEDINA |
| Credential ID | 781998 |
| Credential Number | 58.003834 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
145 West 105 Street New York NY 10025 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-12-29 |
| Effective Date | 1998-07-27 |
| Expiration Date | 1999-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 145 WEST 105 STREET |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Braddock | 310 Riverside Dr Apt #1033, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert B Freeman Jr | 310 Riverside Dr Apt #2204, New York, NY 10025 | Architect | 2020-06-12 ~ 2021-07-31 |
| Arthur S Pier | 315 Riverside Dr Apt 19d, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Cephas P Swamidoss | 370 Central Park West, New York, NY 10025 | Physician/surgeon | 1995-06-30 ~ 2005-02-28 |
| Michael Williams | Po Box 250258, New York, NY 10025 | Master's Level Social Worker | 2020-09-01 ~ 2021-08-31 |
| Floyd G Brezavar | 36 West 95th Street, New York, NY 10025 | Architect | 2018-08-01 ~ 2019-07-31 |
| Pamela Godwin | 245 West 107th Street, New York, NY 10025 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara A. Smith | 54 West 106 Street Apt 1a, New York, NY 10025 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa Linsner | 765 Amsterdam Avenue Apt 9a, New York, NY 10025 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Hazem Abdelsalam | 808 Columbus Ave, New York, NY 10025 | Physician/surgeon | 2020-02-25 ~ 2020-09-30 |
| Find all Licenses in zip 10025 | |||
| City | NEW YORK |
| Zip Code | 10025 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa H Medina | 16 Isleib Rd, Marlborough, CT 06447-1117 | Licensed Clinical Social Worker | ~ |
| Vivian G Trotz | 425 Barton Dr, Orange, CT 06477 | Licensed Clinical Social Worker | ~ 1994-12-31 |
| Vivian Linder | 47 Waters Edge, Rye, NY 10580-3255 | Licensed Clinical Social Worker | 2013-07-01 ~ 2014-06-30 |
| Emily R Medina | 22 Sunrise Dr, Oxford, CT 06478-1771 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
| Vivian Miller | 2 S Ledge Rock Rd, Niantic, CT 06357 | Licensed Clinical Social Worker | 1997-08-19 ~ 1998-08-31 |
| Ralchukwu Vivian Etolue | 1st Floor Left, New Haven, CT 06511 | Licensed Clinical Social Worker | ~ |
| Vivian Carr-allen | Po Box 1051, Glastonbury, CT 06033-6051 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Vanessa Medina-valdez | 208 Grande Rd, East Hartford, CT 06118-2448 | Licensed Clinical Social Worker | ~ |
| Vivian Kingwood | 135 Flax Hill Road, Norwalk, CT 06854 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Vivian J Carr | 5 Roberts Court, Quaker Hill, CT 06375 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on VIVIAN M MEDINA.
| 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).