Individual provider · Type 1 NPI

Shane A. Lanzo, MSW, LCSW, LICSW

Clinical Social Worker · Fairfax, VA

NPI number 1497490767 Active

Practice location

8500 Executive Park Ave Ste 200
Fairfax, VA 22031-2228

Call (703) 698-5220 Map

Mailing address

2100 Paul Edwin Ter Apt 303
Falls Church, VA 22043-2426

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904009107 (VA)

Clinical Social Worker: 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 interpers…

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About NPI 1497490767

Shane A. Lanzo, MSW, LCSW, LICSW's National Provider Identifier is 1497490767, issued on May 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on May 2, 2022.