Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FONDA RENEE BOARD ASBURY LCSW
NPI 1083552590
Social Worker - Clinical in Terre Haute, IN

Q: What is Fonda Renee Board Asbury's NPI number?

The NPI number for Fonda Renee Board Asbury is 1083552590. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Q: What is Fonda Renee Board Asbury's specialty?

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

Active since March 24, 2026PECOS Enrolled

620 8TH AVE, TERRE HAUTE, IN 47804(812) 231-8323 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Mar 24, 2026 (2 updates tracked since 2026).

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About Fonda Renee Board Asbury Lcsw NPPES

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

FONDA RENEE BOARD ASBURY LCSW (NPI 1083552590) is an individual clinical provider in Terre Haute, Indiana, licensed in Indiana (34012758A) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083552590

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameFONDA RENEE BOARD ASBURYCredential: LCSW

Location Address620 8TH AVETerre Haute, IN 47804-2771

Mailing Address620 8th AveTerre Haute, IN 47804-2771 · (812) 231-8242 · Fax (812) 954-0127

Phone(812) 231-8323

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 24, 2026

Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1083552590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IN · 34012758A

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.

620 8TH AVE, Terre Haute, IN 47804

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Secondary Practice Location 1

Location 1PO Box 406Clinton, IN 47842-0406 · Phone (765) 832-2436 · Fax (765) 240-1498

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fonda Renee Board Asbury Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335624857

PECOS Enrollment IDI20260401002045

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

CHERIE G HOWK PHD, FNP-BC

Nurse Practitioner (Family)