Monika Domke, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091472 Issued in MI

Practice address

15223 Farmington Rd Ste 8
Livonia, MI 48154

Phone

(734) 377-3589

NPI assigned

May 27, 2016

Last updated

Oct 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merion Square Road Medical PCGroup PAC ID 0446605422, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merion Square Road Medical PC

  dba Override

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1942923123

  MI

  Medicare reassignment Care Compare group NPD
• Wholeistic You PLLC

  • Clinical Social Worker
  • Livonia, MI
  • NPI 1497302889
  Authorized official Same address or phone
• Marvin Behavioral Health Ma PC

  • Psychologist
  • Boston, MA
  • NPI 1740860428

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1578911707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31741 CAMBRIDGE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543139",
            "telephone_number": "734-968-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 FARMINGTON RD STE 8",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-377-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31500 Schoolcraft Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501805",
            "country_code": "US",
            "telephone_number": "734-422-9340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31500 Schoolcraft Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501805",
            "country_code": "US",
            "telephone_number": "734-422-9340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMKE",
        "first_name": "MONIKA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Livonia",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15223 Farmington Rd Ste 8",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481545411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Doman, PHARMD
• Sean Domas, PSY.D
• Domel Incorporated
• Jessica Domina
• Danmar T Domingo, CNP
• Victoria F Domond
• Domus Vita
• Tellis Colt Donajkowski, MA PSYCHOLOGY
• Donna Marie D. Meszaros, PH.D., LP PLLC
• Dawn Donnelly

• Clinical Social Worker in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.