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

Donovan Khamoro, LCSW

Individual provider Clinical Social Worker · NPI 1275205429

Donovan Khamoro, LCSW is a Clinical Social Worker in New Hudson, Michigan. Graduated from University of Michigan Medical School in 2021, 5 years ago. Practices with Downriver Mental Health Clinic PC, a 288-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

53435 Grand River Ave
New Hudson, MI 48165-8521
Phone: (517) 882-3732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801117401 (MI)

Record details

NPI number1275205429
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Downriver Mental Health Clinic Pc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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