MAX-ANDRE ISIDORE LCSW
NPI 1124854187
Social Worker - Clinical in Chantilly, VA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Max-andre Isidore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22035
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Director Of Finance-County Of Fairfax Va
- 383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CHANTILLY, VA 20151
CHANTILLY, VA 20151
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.
Which organization bills Medicare for Max-andre Isidore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max-andre Isidore reassigns Medicare benefits to Fairfax County, Virginia (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Max-andre Isidore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Max-andre Isidore was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Max-Andre Isidore, LCSW · NPI 1124854187
Clinical provider in Chantilly, Virginia. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1124854187 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904016452 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4213 WALNEY RD, Chantilly, VA 20151-2923
- **Phone:** (703) 502-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fairfax County, Virginia (NPI 1154356244, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124854187) · Data from the CMS NPPES public registry.