SHAPED BY GRACE, LLC
NPI 1336007475
Social Worker - Clinical in Celina, OH

Active since January 15, 2026
5100 FAIRGROUND RD, CELINA, OH 45822(567) 644-2028 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaped By Grace, Llc NPPES

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

SHAPED BY GRACE, LLC (NPI 1336007475) is a healthcare organization registered as a clinical in Celina, Ohio and active in the NPI registry since January 2026. The organization lists Tiffany Fishbaugh, Ceo/therapist, as its authorized official.

NPPES Registry Identity

NPI1336007475
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHAPED BY GRACE, LLC
Location Address5100 FAIRGROUND RDCelina, OH 45822-9775
Mailing Address7095 Emerson RdCelina, OH 45822-2946 · (567) 644-2028
Organization SubpartNo
Authorized OfficialTiffany FishbaughCeo/therapist · (567) 644-2028
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
NPI 1336007475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
5100 FAIRGROUND RD, Celina, OH 45822

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
5100 FAIRGROUND RD
CELINA, OH 45822
Counselor (Mental Health)
5100 FAIRGROUND RD
CELINA, OH 45822
Counselor (Addiction (Substance Use Disorder))
5100 FAIRGROUND RD
CELINA, OH 45822

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 Shaped By Grace, LLC's NPI number?

The NPI number for Shaped By Grace, LLC is 1336007475. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Shaped By Grace, LLC located?

Shaped By Grace, LLC is located at 5100 Fairground Rd, Celina, OH 45822. The listed phone number is (567) 644-2028.

What is Shaped By Grace, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shaped By Grace, LLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.