Matt Fanning, MSW, LCSW
NPI 1265043376ActiveIndividual· Social Worker, Clinical· St. Louis, MO
Social Worker, Clinical (MSW, LCSW) with Vivent Health Inc, practicing in St. Louis, Missouri. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1265043376 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 12, 2020 |
| Last updated in NPPES | Feb 23, 2022 |
| Certified by provider | Feb 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 2020022837 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MO) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Vivent Health IncKenosha, WI · 53 clinicians
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