Tiffany A Fishbaugh, LISW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I0009286 SUPV Issued in OH

Practice address

7095 Emerson Rd
Celina, OH 45822-2946

Phone

(567) 644-2028

NPI assigned

Sep 26, 2012

Last updated

Mar 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany A Hamilton Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Counseling and Consultation, LLCGroup PAC ID 3971880121, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Momentum Counseling and Consultation, LLC

  • Clinical Social Worker
  • Celina, OH
  • NPI 1225582752
  Medicare reassignment Care Compare group
• Shaped by Grace

  • Clinical Social Worker
  • Celina, OH
  • NPI 1336007475
  Authorized official Same address or phone
• Center for Personal Wellness, LLC

  • Professional Counselor
  • Minster, OH
  • NPI 1437490877
  NPD (past)
• Center for Personal Wellness, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1669922894
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1104177575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 EMERSON RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222946",
            "telephone_number": "567-644-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 EMERSON RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222946",
            "telephone_number": "567-644-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBAUGH",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0009286 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HAMILTON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family Audiology Associates, Inc.
• Family Audiology Associates, Inc.
• Family Care Options Inc
• Erica Marie Feison, PA-C
• Valerie R Fetters
• Tabitha Fleck
• Garrett Forlow
• David James Forsthoefel, D.D.S.
• Mary Fortkamp, RN RRT
• Alizabeth Foster

• Social Worker in Celina, OH
• Providers in Celina, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.