Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Larissa Keranen, LLMSW

Individual provider Clinical Social Worker · NPI 1619587060

Dominique Larissa Keranen, LLMSW is a Clinical Social Worker in Stanton, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

611 N State St
Stanton, MI 48888-9702
Phone: (989) 831-7672
Fax: (989) 831-7578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801107565 (MI)

Record details

NPI number1619587060
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

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