MATT FANNING (NPI# 1265043376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265043376 |
| Entity Type | Individual |
| Full Name | MATT FANNING |
| Credential | MSW, LCSW |
| Practice Address |
9378 Olive Blvd Ste 205 Saint Louis MO 63132-3223 |
| Mailing Address |
4049 W Pine Blvd Apt 103 Saint Louis MO 63108-3237 |
| Practice Telephone | 3145945010 |
| Practice Fax Number | 3149428100 |
| Mailing Telephone | 3143729738 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2020022837 | MO | Behavioral Health & Social Service Providers |
| Street Address |
9378 OLIVE BLVD STE 205 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097182 | Laura Ranalletta | Social Worker | 877 Queen Anne Pl, Saint Louis, MO 63122-3143 | 2020-09-11 |
| 1861007502 | Helene Foster Platke | Social Worker | 11681 Summerhaven Dr, Saint Louis, MO 63146-5441 | 2020-09-10 |
| 1063027811 | Elizabeth Stonefield | Social Worker | 8188 Middlevalley Trl, Saint Louis, MO 63123-2415 | 2020-09-09 |
| 1770195729 | Kyla Hadenfeldt | Social Worker | 4562a Loughborough Ave, Saint Louis, MO 63116-1131 | 2020-08-20 |
| 1093327587 | Lori B Goldenberg | Social Worker | 3 Winfield Pointe Ln, Saint Louis, MO 63141-7710 | 2020-08-18 |
| 1831701473 | Michael David Galvin | Social Worker | 3425 Humphrey St, Saint Louis, MO 63118-2720 | 2020-08-17 |
| 1235748765 | Celia Rose Mcmanus | Social Worker | 10004 Kennerly Rd Ste 280b, Saint Louis, MO 63128-2177 | 2020-07-30 |
| 1841809019 | Danielle Denise Collins | Social Worker | 12360 Creek Run Dr Apt M, Saint Louis, MO 63141-6579 | 2020-07-23 |
| 1730797176 | Jill Louise Medintz | Social Worker | 130 S Bemiston Ave Ste 704a, Saint Louis, MO 63105-1913 | 2020-07-22 |
| 1386252096 | Susan C Martel | Social Worker | 322 Linum Ln, Saint Louis, MO 63119-4523 | 2020-07-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.