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BRIAN FANION LMSW
NPI 1013223775
Social Worker - Clinical in Port Huron, MI

Active since August 19, 2010PECOS Enrolled
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian Fanion Lmsw NPPES

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

BRIAN FANION LMSW (NPI 1013223775) is an individual clinical provider in Port Huron, Michigan, licensed in Michigan (6801093156) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013223775
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIAN FANIONCredential: LMSW
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address3111 Electric AvePort Huron, MI 48060-8127 · (810) 985-8900
Phone(810) 985-8900
Sole ProprietorNo
Enumeration DateAugust 19, 2010
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1013223775 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 MI · 6801093156
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.
3111 ELECTRIC AVE, Port Huron, MI 48060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Fanion Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Fanion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Clair County Community Mental Health Authority
Same address
Community/Behavioral Health
3111 ELECTRIC AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 80 clinicians in this Medicare group
NPI 1689783672 (810) 985-8900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY E CROTEAU R.N.,B.S.N.
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
HEATHER STEWART LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MICAELA ANNE CHAMPINE
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
CALLIE GUNN
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JACQUELINE RENEE NICHOLS
Technician/Technologist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
SHELBY RENEE GRAHAM
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JORDAN FRONTIERO B.S
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3739
LISA M AZAR
Technician (Personal Care Attendant)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900

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 Brian Fanion's NPI number?

The NPI number for Brian Fanion is 1013223775. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Brian Fanion located?

Brian Fanion practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-8900.

What is Brian Fanion's specialty?

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

Is Brian Fanion enrolled in Medicare?

Yes. Brian Fanion is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Fanion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Fanion reassigns Medicare benefits to St Clair County Community Mental Health Authority (Port Huron, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Fanion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Fanion accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Brian Fanion 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 Brian Fanion was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.