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

Sarah Rae Domke

Individual provider Clinical Social Worker · NPI 1124913991

Sarah Rae Domke is a Clinical Social Worker in Kentwood, Michigan. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3590 Whispering Brook Dr SE
Kentwood, MI 49508-3734
Phone: (616) 283-9464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801115862 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801115862 (MI)

Record details

NPI number1124913991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address3590 Whispering Brook Dr Se, Kentwood, MI 49508-3734

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kentwood