Nair C Cardoso, LICSW

Individual provider Active NPI Social Worker · Riverside, RI

NPI 1003892209 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1003892209
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
ISW01507 (RI)
Practice address
610 Wampanoag Trail
Riverside, RI 02915-1506
Phone
(401) 431-9870
Fax
(401) 435-7486
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11Z094MNMDSocial Worker
ISW01507RIMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW01507 RI Yes
Social Worker 104100000X 11Z094 MN

Addresses

Primary practice location

610 Wampanoag Trail
Riverside, RI 02915-1506

Mailing address

220 Woodhaven Rd
Pawtucket, RI 02861-3841
Phone (401) 728-3707

Other identifiers

IdentifierTypeStateIssuer
410357OtherBLUE CHIP
Z17116OtherBLUE CROSS
NC33313MedicaidRI

Other providers in Riverside, RI

All providers in Riverside, RI · Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.