Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Lelwica-Hebeisen, LCPC

Individual provider Mental Health Counselor · NPI 1578128781

Shane Lelwica-Hebeisen, LCPC is a Clinical Social Worker in Baltimore, Maryland. Qualified in 2018, 8 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Pennsylvania.

Years since qualifying
8
Licensed in
MD, PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

301 Saint Paul St Ste 409
Baltimore, MD 21202-2102
Phone: (443) 449-5604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC12475 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence PC014222 (PA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1578128781
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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