Active NPI
Grace Nelson Odinma, RSST/SOCIAL SERVICES
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1053790808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6803085860
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6803085860 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Doula
- Romulus, MI
- NPI 1225953953
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.