DOMINIQUE LARISSA ADAMS (NPI# 1619587060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619587060 |
| Entity Type | Individual |
| Full Name | DOMINIQUE LARISSA ADAMS |
| Credential | LLMSW |
| Practice Address |
611 N State St Stanton MI 48888-9702 |
| Practice Telephone | 9898317672 |
| Practice Fax Number | 9898317578 |
| Mailing Telephone | 9898317672 |
| Mailing Fax Number | 9898317578 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801107565 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346638244 | Dominique Adams | Social Worker | 41069 Crossbow Cir, Apt 202, Canton, MI 48188-3149 | 2014-12-30 |
| Street Address |
611 N STATE ST |
| City | STANTON |
| State | MI |
| Zip Code | 48888-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508832155 | David E Lyon | Psychiatry & Neurology | 611 N State St, Stanton, MI 48888-9702 | 2006-02-24 |
| 1710584651 | Megan Elizabeth Marhofer | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-10-05 |
| 1306464581 | Catherine Mary Joyce Hazekamp | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-07-14 |
| 1245865781 | Danielle Lynn Martin | Registered Nurse | 611 N State St, Stanton, MI 48888-9702 | 2020-03-05 |
| 1770116980 | Samantha L Hershberger | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2020-02-17 |
| 1427689710 | Sarah J Mcdiarmid | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2020-01-27 |
| 1558901942 | Adeline Zemcik | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2020-01-14 |
| 1972143261 | Amber Kohagen | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-01-14 |
| 1881239218 | Amanda Crystal Gatiss | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2019-11-08 |
| 1528600657 | Kirsten Mae Adris | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2019-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873115 | Melanie Cazier | Behavior Technician | 100 E Main St #c, Stanton, MI 48888 | 2018-03-01 |
| 1841583739 | Wendy Kay King | Registered Nurse | 251 S. Pine Grove Road, Stanton, MI 48888 | 2011-05-25 |
| 1497059224 | Dawn Jo Phenix-stoll | In Home Supportive Care | 312 E. Main St., Stanton, MI 48888 | 2011-01-10 |
| 1316247935 | Jenniffer Marie Efaw | Family Medicine | 615 N State St Ste 1, Stanton, MI 48888 | 2010-10-29 |
| 1952637704 | Suzanne A Rasmussen | Massage Therapist | 806 N. State, Stanton, MI 48888 | 2009-10-29 |
| 1790918977 | Faith Works LLC | Massage Therapist | 806 N State St., Stanton, MI 48888 | 2009-09-03 |
| 1659440428 | David Lee Dockham | Dentist | 800 North State Rd, Stanton, MI 48888 | 2006-11-07 |
| 1710074448 | Montcalm Care Network | Community/Behavioral Health | 611 N State Street, Stanton, MI 48888 | 2006-10-06 |
| 1821068479 | Sparrow Carson Hospital | Clinic/Center | 545 N State St, Stanton, MI 48888 | 2006-01-25 |
| 1912160615 | David M Clay | Chiropractor | 806 N State St, Suite B, Stanton, MI 48888 | 2008-07-03 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609581 | Anjelica Donata Flores | Social Worker | 7855 Katella Ave, Stanton, CA 90680-3150 | 2016-06-09 |
| 1093708554 | Geneivive Brewer | Social Worker | 638 E College Ave Ste B, Stanton, KY 40380-2363 | 2005-08-30 |
| 1972143261 | Amber Kohagen | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-01-14 |
| 1528600657 | Kirsten Mae Adris | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2019-10-10 |
| 1356983407 | Rebecca Lynne Charles | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2019-10-10 |
| 1821639030 | Victoria Lee Weber | Social Worker | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-09-30 |
| 1265918528 | Amanda Marie Hartman | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2018-07-19 |
| 1710471479 | Adria Raggio | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2018-06-18 |
| 1437654092 | Glory Joanelle Strey | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2018-03-27 |
| 1407351232 | Kelly Lynn Perry | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2018-03-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.