Individual provider Active NPI

Grace Nelson Odinma, RSST/SOCIAL SERVICES

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1053790808
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6803085860 Issued in MI
Practice address
33228 W 12 Mile Rd # 190
Farmington Hills, MI 48334-3309
Phone
(517) 862-5628
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6803085860 MI Primary

Addresses

Primary practice location

33228 W 12 Mile Rd # 190
Farmington Hills, MI 48334-3309

Mailing address

16289 Harrison Ave
Romulus, MI 48174-3060
Phone (734) 476-0145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6803085860MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Doula LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1053790808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16289 HARRISON AVE",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743060",
            "telephone_number": "734-476-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33228 W 12 MILE RD # 190",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343309",
            "telephone_number": "517-862-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINMA",
        "first_name": "GRACE",
        "middle_name": "NELSON",
        "credential": "RSST/SOCIAL SERVICES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6803085860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.