Individual provider · Type 1 NPI

Max-Andre Isidore, LCSW

Clinical Social Worker · Chantilly, VA

NPI number 1124854187 Active

Practice location

4213 Walney Rd
Chantilly, VA 20151-2923

Call (703) 502-7000 Map

Mailing address

1020 Leckie St
Portsmouth, VA 23704-1904

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X0904016452 (VA)
Clinical Social Worker Primary 1041C0700X0904016452 (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 1124854187

Max-Andre Isidore, LCSW's National Provider Identifier is 1124854187, issued on Sep 9, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chantilly, VA. The record was last updated on Sep 26, 2024.