SHANE A LANZO MSW, LCSW, LICSW
NPI 1497490767
Social Worker - Clinical in Fairfax, VA

Active since May 02, 2022PECOS Enrolled
8500 EXECUTIVE PARK AVE STE 200, FAIRFAX, VA 22031(703) 698-5220 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane A Lanzo Msw, Lcsw, Licsw NPPES

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

SHANE A LANZO MSW, LCSW, LICSW (NPI 1497490767) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904009107) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497490767
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANE A LANZOCredential: MSW, LCSW, LICSW
Location Address8500 EXECUTIVE PARK AVE STE 200Fairfax, VA 22031-2228
Mailing Address2100 Paul Edwin Ter Apt 303Falls Church, VA 22043-2426 · (703) 731-9481
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 2, 2022
NPPES CertifiedMay 1, 2022
NPI 1497490767 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 VA · 0904009107
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.

8500 EXECUTIVE PARK AVE STE 200, Fairfax, VA 22031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shane A Lanzo Msw, Lcsw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991274474
PECOS Enrollment IDI20260513003837
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 22031 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 5

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

Social Worker (Clinical)
8500 EXECUTIVE PARK AVE STE 200
FAIRFAX, VA 22031
Physician Assistant
8500 EXECUTIVE PARK AVE STE 200
FAIRFAX, VA 22031
Nurse Practitioner (Psychiatric/Mental Health)
8500 EXECUTIVE PARK AVE STE 200
FAIRFAX, VA 22031
Clinical Nurse Specialist (Psychiatric/Mental Health)
8500 EXECUTIVE PARK AVE STE 200
FAIRFAX, VA 22031
Social Worker (Clinical)
8500 EXECUTIVE PARK AVE STE 200
FAIRFAX, VA 22031

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 Shane Lanzo's NPI number?

The NPI number for Shane Lanzo is 1497490767. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Shane Lanzo located?

Shane Lanzo practices at 8500 Executive Park Ave Ste 200, Fairfax, VA 22031. The listed phone number is (703) 698-5220.

What is Shane Lanzo's specialty?

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

Is Shane Lanzo enrolled in Medicare?

Yes. Shane Lanzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Lanzo was last updated on May 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.