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

Q: 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.

Q: What is Shane Lanzo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Lanzo was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

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: October 18, 2026.

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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

Phone(703) 698-5220

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

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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Medstar Medical Group II LLC

9.3 mi

Critical Care Medicine

3800 RESERVOIR RD NW
Washington, DC 20007

Reassigned Medicare billing, District of Columbia enrollment
3,530 clinicians in this Medicare group

NPI 1205562816 (703) 558-1403

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 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.

MS. HOLLY BETH SEGAL M.S.W.

Social Worker (Clinical)