Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rachel Mae Fondren, LICSW, PIP

Individual provider Clinical Social Worker · NPI 1841623352

Rachel Mae Fondren, LICSW, PIP is a Clinical Social Worker in Elizabethtown, Kentucky. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Alabama and Kentucky.

Years since qualifying
12
Licensed in
AL, KY
In the registry since
2013
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

105 Charge Ct Apt 1F
Elizabethtown, KY 42701-4984
Phone: (256) 443-0992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3972C (AL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 259888 (KY)

Record details

NPI number1841623352
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , PIP
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elizabethtown