Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matt Fanning, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1265043376

Matt Fanning, MSW, LCSW is a Clinical Social Worker in St. Louis, Missouri. Qualified in 2017, 9 years ago. Practices with Vivent Health Inc, a 54-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2020
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1 Brookings Drive Seigle Hall Ste 435
St. Louis, MO 63130-4889
Phone: (314) 935-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4049 W Pine Blvd Apt 103, Saint Louis, MO 63108-3237 — (314) 372-9738
  • 12647 Olive Blvd Ste 200, Saint Louis, MO 63141-6345 — (314) 469-4908

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2020022837 (MO)

Record details

NPI number1265043376
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedAugust 12, 2020
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vivent Health Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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