DONOVAN KHAMORO LCSW
NPI 1275205429
Social Worker - Clinical in New Hudson, MI

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
53435 GRAND RIVER AVE, NEW HUDSON, MI 48165(517) 882-3732 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, Oct 5, 2021 (2 updates tracked since 2021).

About Donovan Khamoro Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONOVAN KHAMORO LCSW (NPI 1275205429) is an individual clinical provider in New Hudson, Michigan, licensed in Michigan (6801117401) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2021).

NPPES Registry Identity

NPI1275205429
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDONOVAN KHAMOROCredential: LCSW
Location Address53435 GRAND RIVER AVENew Hudson, MI 48165-8521
Mailing Address53435 Grand River Ave Ste 2500New Hudson, MI 48165-8521 · (734) 737-1200
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2021
Enumeration DateOctober 5, 2021
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1275205429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801117401
Definition

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.

53435 GRAND RIVER AVE, New Hudson, MI 48165

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donovan Khamoro Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365978889
PECOS Enrollment IDI20241207000171
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165
Counselor (Professional)
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165
Social Worker (Clinical)
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165
Social Worker (Clinical)
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165
Social Worker (Clinical)
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165
Counselor (Addiction (Substance Use Disorder))
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165
Counselor (Professional)
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165
Nurse Practitioner (Psychiatric/Mental Health)
53435 GRAND RIVER AVE
NEW HUDSON, MI 48165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donovan Khamoro's NPI number?

The NPI number for Donovan Khamoro is 1275205429. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Donovan Khamoro located?

Donovan Khamoro practices at 53435 Grand River Ave, New Hudson, MI 48165. The listed phone number is (517) 882-3732.

What is Donovan Khamoro's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Donovan Khamoro enrolled in Medicare?

Yes. Donovan Khamoro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donovan Khamoro accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Donovan Khamoro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donovan Khamoro was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.