MAX-ANDRE ISIDORE LCSW
NPI 1124854187
Social Worker - Clinical in Chantilly, VA

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
4213 WALNEY RD, CHANTILLY, VA 20151(703) 502-7000 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2024, Sep 20, 2024, Sep 9, 2024 (3 updates tracked since 2024).

About Max-andre Isidore Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX-ANDRE ISIDORE LCSW (NPI 1124854187) is an individual clinical provider in Chantilly, Virginia, licensed in Virginia (0904016452) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portsmouth, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124854187
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMAX-ANDRE ISIDORECredential: LCSW
Location Address4213 WALNEY RDChantilly, VA 20151-2923
Mailing Address1020 Leckie StPortsmouth, VA 23704-1904
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 9, 2024
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1124854187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904016452
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.

Also ListedCounselorTaxonomy 101Y00000X · License 0904016452 (VA)
4213 WALNEY RD, Chantilly, VA 20151

Secondary Practice Location 1

Location 11020 Leckie StPortsmouth, VA 23704-1904 · Phone (757) 399-3025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Max-andre Isidore Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284166554
PECOS Enrollment IDI20241011003389
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20151 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
4213 WALNEY RD
CHANTILLY, VA 20151
Counselor (Professional)
4213 WALNEY RD
CHANTILLY, VA 20151
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Registered Nurse
4213 WALNEY RD
CHANTILLY, VA 20151
Substance Abuse Rehabilitation Facility
4213 WALNEY RD
CHANTILLY, VA 20151
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Student in an Organized Health Care Education/Training Program
4213 WALNEY RD
CHANTILLY, VA 20151
Registered Nurse (Addiction (Substance Use Disorder))
4213 WALNEY RD
CHANTILLY, VA 20151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max-andre Isidore's NPI number?

The NPI number for Max-andre Isidore is 1124854187. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Max-andre Isidore located?

Max-andre Isidore practices at 4213 Walney Rd, Chantilly, VA 20151. The listed phone number is (703) 502-7000.

What is Max-andre Isidore's specialty?

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

Is Max-andre Isidore enrolled in Medicare?

Yes. Max-andre Isidore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Max-andre Isidore was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.