Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Max-Andre Isidore, LCSW

Individual provider Counselor · NPI 1124854187

Max-Andre Isidore, LCSW is a Clinical Social Worker in Chantilly, Virginia. Qualified in 2017, 9 years ago. Practices with Director of Finance-County of Fairfax VA, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4213 Walney Rd
Chantilly, VA 20151-2923
Phone: (703) 502-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1020 Leckie St, Portsmouth, VA 23704-1904 — (757) 399-3025

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904016452 (VA)
Counselor Taxonomy 101Y00000X · Licence 0904016452 (VA)

Record details

NPI number1124854187
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address1020 Leckie St, Portsmouth, VA 23704-1904

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Director Of Finance-County Of Fairfax Va — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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