Organization · Type 2 NPI

Shaped By Grace

Clinical Social Worker · Celina, OH

NPI number 1336007475 Active

Practice location

5100 Fairground Rd
Celina, OH 45822-9775

Mailing address

7095 Emerson Rd
Celina, OH 45822-2946

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1336007475

Shaped By Grace's National Provider Identifier is 1336007475, issued on Jan 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Celina, OH. The record was last updated on Aug 20, 2026.