Matt Fanning, MSW, LCSW Valid NPI

Individual provider · Clinical Social Worker · St. Louis, MO

NPI

1265043376

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

2020022837 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-08-12

Last updated

2022-02-23