Search › Virginia › 1041C0700X
Max-Andre Isidore, LCSW
NPI 1124854187 · on the registry since 2024
Practice
- Address
- 4213 Walney Rd
Chantilly, VA 20151 - Phone
- (703) 502-7000
- Organisation at this address
- Fairfax Falls Church Community Service Board
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 42
Additional practice sites
- 1020 Leckie St, Portsmouth, VA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia