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IndividualActiveMedicare EnrolledCan Order/Refer

Matt Fanning

MSW, LCSW

Social Worker - Clinical

NPI: 1265043376St. Louis, Missouri, 63130(314) 935-8457Male

About Matt Fanning

Matt Fanning, MSW, LCSW, is a male healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1265043376. Matt Fanning received his medical education at OTHER, graduating in 2017.

Their primary practice is located at 1 BROOKINGS DRIVE, St. Louis, Missouri 63130. Patients can reach the office at (314) 935-8457. Matt Fanning is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Matt Fanning has been NPI-registered since 2020.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1265043376
Entity Type
Individual
First Name
Matt
Last Name
Fanning
Credential
MSW, LCSW
Gender
Male
Medical School
OTHER
Graduation Year
2017
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
1 BROOKINGS DRIVE
City
St. Louis
State
Missouri
ZIP
63130-4889
Country
United States
Phone
(314) 935-8457

Specialty & Taxonomy

Primary Specialty
Social Worker - Clinical
Classification
Social Worker
Specialization
Clinical
Taxonomy Code
1041C0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
4049 W PINE BLVD APT 103
City
SAINT LOUIS
State
MO
ZIP
631083237

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Matt Fanning's NPI number?
Matt Fanning's National Provider Identifier (NPI) is 1265043376. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Matt Fanning specialize in?
Matt Fanning specializes in Social Worker - Clinical. They received their medical education at OTHER (class of 2017).
Where is Matt Fanning located?
Matt Fanning practices at 1 BROOKINGS DRIVE, St. Louis, Missouri 63130. You can reach them by phone at (314) 935-8457.
Does Matt Fanning accept Medicare?
Yes, Matt Fanning is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Matt Fanning offer telehealth or virtual visits?
Matt Fanning does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Matt Fanning is 1265043376.