Active NPIIndividual providerSole proprietor

Justin M Cardoso, LCDP

Counselor, Addiction (Substance Use Disorder) in Harrisville, Rhode Island

NPI Number1770468332
Practice location
2792 Victory Hwy, Harrisville, RI 02830-1945
Fax
—
Last updated
October 14, 2025

Justin M Cardoso is a Counselor, Addiction (Substance Use Disorder) based in Harrisville, RI. Justin M Cardoso practices in Harrisville, RI and has the professional credentials of LCDP. The NPI Number for Justin M Cardoso is 1770468332 and holds a License No. CDP01056 (RI). The current practice location address for Justin M Cardoso is 2792 Victory Hwy, Harrisville, RI 02830-1945 and can be reached out via phone at 401-559-0636.

Provider Profile Details

NPI Number
1770468332
Provider Name
Justin M Cardoso
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
2792 Victory Hwy, Harrisville, RI 02830-1945
Phone Number
401-559-0636
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
August 11, 2025
Last Update Date
October 14, 2025
Certification Date
October 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2792 Victory Hwy
Harrisville, RI 02830-1945
Zip
02830-1945
Phone Number
401-559-0636
Harrisville, RI 02830Get directions →

Provider Business Mailing Address Details

Address
15 La Salle Sq
Providence, RI 02903-1814
City
Providence
State
RI
Zip
02903-1814
Phone Number
401-444-6779
Fax Number
401-444-6912

License Information

License Number
CDP01056
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justin M Cardoso, LCDP?

The NPI number of Justin M Cardoso, LCDP is 1770468332. It was assigned on August 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Justin M Cardoso, LCDP?

Justin M Cardoso, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP01056.

Where does Justin M Cardoso, LCDP practice?

The practice location is 2792 Victory Hwy, Harrisville, RI 02830-1945. The office can be reached at 401-559-0636 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770468332 directly on the NPPES registry website.

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