Individual provider · Type 1 NPI
Matt Fanning, MSW, LCSW
Clinical Social Worker · St. Louis, MO
Practice location
1 Brookings Drive, Seigle Hall, Ste 435
St. Louis, MO 63130-4889
Mailing address
4049 W Pine Blvd Apt 103
St. Louis, MO 63108-3237
Other practice locations
- 4049 W Pine Blvd Apt 103, St. Louis, MO 63108-3237 · (314) 372-9738
- 12647 Olive Blvd Ste 200, St. Louis, MO 63141-6345 · (314) 469-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2020022837 (MO) |
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…
Other clinical social worker providers in St. Louis
- Deborah Molly Levin, LCSW, ACSWClinical Social Worker St. Louis, MO NPI 1003009333
- Jennifer Marie Dunn, MSW, LCSWClinical Social Worker St. Louis, MO NPI 1003012048
- Eric Dean Lindhorst, LCSWClinical Social Worker St. Louis, MO NPI 1003015975
- Phoebe Sue Pinkerton, LCSW MSWClinical Social Worker St. Louis, MO NPI 1003049099
- Arie Baker, MSW, LCSWClinical Social Worker St. Louis, MO NPI 1003205451
- Shelby Lyn Pascoe, LCSWClinical Social Worker St. Louis, MO NPI 1003216581
- Lorna L. Wurm, MSW, LCSWClinical Social Worker St. Louis, MO NPI 1003261546
- Patricia Anne Baca, LMSWClinical Social Worker St. Louis, MO NPI 1003546938
About NPI 1265043376
Matt Fanning, MSW, LCSW's National Provider Identifier is 1265043376, issued on Aug 12, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Feb 23, 2022.