MATT FANNING MSW, LCSW
NPI 1265043376
Social Worker - Clinical in St. Louis, MO

Active since August 12, 2020PECOS EnrolledAccepts Medicare Assignment
1 BROOKINGS DRIVE, SEIGLE HALL, STE 435, ST. LOUIS, MO 63130(314) 935-8457 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2022, Aug 12, 2020 (2 updates tracked since 2020).

About Matt Fanning Msw, Lcsw NPPES

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

MATT FANNING MSW, LCSW (NPI 1265043376) is an individual clinical provider in St. Louis, Missouri, licensed in Missouri (2020022837) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265043376
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATT FANNINGCredential: MSW, LCSW
Location Address1 BROOKINGS DRIVE, SEIGLE HALL, STE 435St. Louis, MO 63130-4889
Mailing Address4049 W Pine Blvd Apt 103Saint Louis, MO 63108-3237 · (314) 372-9738
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 12, 2020
Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
NPI 1265043376 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 MO · 2020022837
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.
1 BROOKINGS DRIVE, St. Louis, MO 63130

Secondary Practice Locations 2

Location 14049 W Pine Blvd Apt 103Saint Louis, MO 63108-3237 · Phone (314) 372-9738
Location 212647 Olive Blvd Ste 200Saint Louis, MO 63141-6345 · Phone (314) 469-4908

Accepted Insurance

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

Matt Fanning Msw, 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 ID3274064670
PECOS Enrollment IDI20241009000207
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 63130 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 $55.65 – $169.38
Typical copayment $0.00 (range $13.91 – $42.34)
Most-billed visit code NA
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matt Fanning's NPI number?

The NPI number for Matt Fanning is 1265043376. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Matt Fanning located?

Matt Fanning practices at 1 Brookings Drive Seigle Hall, Ste 435, St. Louis, MO 63130. The listed phone number is (314) 935-8457.

What is Matt Fanning's specialty?

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

Is Matt Fanning enrolled in Medicare?

Yes. Matt Fanning is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matt Fanning accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica and Oscar Insurance Company list Matt Fanning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matt Fanning was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.