MEREDITH G BROCKBANK (Credential# 783135) 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.
MEREDITH G BROCKBANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.004978. 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 5 Whitewood Lane, Southwick, MA 01077. The current status is active.
Licensee Name | MEREDITH G BROCKBANK |
Credential ID | 783135 |
Credential Number | 58.004978 |
Credential Type | Licensed Clinical Social Worker |
Business Address |
5 Whitewood Lane Southwick MA 01077 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-07-20 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-03-03 |
Street Address | 5 Whitewood Lane |
City | Southwick |
State | MA |
Zip Code | 01077 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth C Levite | 5 Liquori Drive, Southwick, MA 01077 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Nancy M Psholka | 11 Pearlbrook Rd, Southwick, MA 01077 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Diane M Wolfe | 7 Coes Hill Road, Southwick, MA 01077 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Donna Glembocki | 12 Berkshire Avenue, Southwick, MA 01077 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Donna L Hawkins | 173 Vining Hill Rd, Southwick, MA 01077 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Colleen C Dell | 4 Hillcrest Rd, Southwick, MA 01077 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Alla Burkovskiy | 15 Overlook Lane, Southwick, MA 01077 | Real Estate Salesperson | 2019-12-13 ~ 2020-05-31 |
Tegan M Kimball | 32 Deer Run, Southwick, MA 01077 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Donna P Davis · Bleau | 10 Gloria Drive, Southwick, MA 01077 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
Heidi A Kingsley · Card | 13 John Mason Rd., Southwick, MA 01077 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01077 |
City | Southwick |
Zip Code | 01077 |
License Type | Licensed Clinical Social Worker |
License Type + County | Licensed Clinical Social Worker + Southwick |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexandra Rey | 40 Meredith Lane, Stamford, CT 06903 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Meredith Dellorco | 101 Aspetuck Ave, New Milford, CT 06776-2825 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
Meredith Mcaloon | 25 Housatonic Dr, Milford, CT 06460-5033 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Stephen T Whitney | Rfd 2 Box 1659, Meredith, NH 03253 | Licensed Clinical Social Worker | ~ 1995-07-31 |
Zachary H Meredith | 250 James St Apt 1, New Haven, CT 06513-3525 | Licensed Clinical Social Worker | 2016-02-01 ~ 2017-01-31 |
Meredith B Bollinger | 155 Grapevine Rd, Wenham, MA 01984-1812 | Licensed Clinical Social Worker | 2015-11-03 ~ 2016-04-30 |
Meredith E O'brien | 19 De Normandie Ave, Fair Haven, NJ 07704-3303 | Licensed Clinical Social Worker | 2015-06-01 ~ 2016-05-31 |
Meredith Brandon Beenen | 30 Great Hill Road, Ridgefield, CT 06877 | Licensed Clinical Social Worker | 2019-12-23 ~ 2020-10-31 |
Meredith Marie Russo | 16 Salem View Drive, Ridgefield, CT 06877 | Licensed Clinical Social Worker | 2019-08-07 ~ 2020-08-31 |
Meredith Elgart | 26 Arrow Wood Circle, South Windsor, CT 06074 | Licensed Clinical Social Worker | 2005-10-28 ~ 2006-11-30 |
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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).