JUSTIN M CARDOSO LCDP
NPI 1770468332
Counselor - Addiction (Substance Use Disorder) in Harrisville, RI

Active since August 11, 2025
2792 VICTORY HWY, HARRISVILLE, RI 02830(401) 559-0636 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justin M Cardoso Lcdp NPPES

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

JUSTIN M CARDOSO LCDP (NPI 1770468332) is an individual addiction (substance use disorder) provider in Harrisville, Rhode Island, licensed in Rhode Island (CDP01056) and active in the NPI registry since August 2025. He maintains a secondary practice location in Pawtucket.

NPPES Registry Identity

NPI1770468332
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJUSTIN M CARDOSOCredential: LCDP
Location Address2792 VICTORY HWYHarrisville, RI 02830-1945
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Sole ProprietorYes
Enumeration DateAugust 11, 2025
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
NPI 1770468332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in RI · CDP01056
2792 VICTORY HWY, Harrisville, RI 02830

Secondary Practice Location 1

Location 1101-103 Bacon StreetPawtucket, RI 02860-5542 · Phone (401) 722-3560 · Fax (401) 722-3593

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770468332, enumerated as an "individual" on August 11, 2025.

The provider is located at 2792 VICTORY HWY HARRISVILLE, RI 02830 and the phone number is (401) 559-0636.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to verify.