Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane A Lanzo, MSW, LCSW, LICSW

Individual provider Clinical Social Worker · NPI 1497490767

Shane A Lanzo, MSW, LCSW, LICSW is a Clinical Social Worker in Fairfax, Virginia. Qualified in 2002, 24 years ago. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

8500 Executive Park Ave Ste 200
Fairfax, VA 22031-2228
Phone: (703) 698-5220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904009107 (VA)

Record details

NPI number1497490767
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , LICSW
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESMay 2, 2022
Certification dateMay 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

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