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

Q: 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.

Q: What is Donovan Khamoro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donovan Khamoro was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: October 18, 2026.

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

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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

Phone(517) 882-3732

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Donovan Khamoro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Downriver Mental Health Clinic PC

12 mi

Psychologist

7600 GRAND RIVER RD, SUITE 290
Brighton, MI 48114

Reassigned Medicare billing, Michigan enrollment
451 clinicians in this Medicare group

NPI 1225165715 (810) 220-2787

Blue Water Healing Clinic LLC

47 mi

Professional

1902 4TH ST
Jackson, MI 49203

Reassigned Medicare billing, Michigan enrollment

NPI 1861284267 (734) 273-9681

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. BRITTANY KOZLOWICZ LPC

Counselor (Professional)