Individual provider · Type 1 NPI

Rachel Mae Fondren, LICSW, PIP

Clinical Social Worker · Elizabethtown, KY

NPI number 1841623352 Active

Practice location

105 Charge Ct Apt 1F
Elizabethtown, KY 42701-4984

Call (256) 443-0992 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X259888 (KY)
Clinical Social Worker Primary 1041C0700X3972C (AL)

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 1841623352

Rachel Mae Fondren, LICSW, PIP's National Provider Identifier is 1841623352, issued on Aug 20, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabethtown, KY. The record was last updated on Sep 18, 2025.