Active NPIIndividual providerSole proprietor

Deborah D Bergner, LICSW

Social Worker, Clinical in South Kingstown, Rhode Island

NPI Number1053091835
Practice location
65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569
Fax
—
Last updated
April 2, 2026

Deborah D'Amico Bergner is a Social Worker, Clinical based in South Kingstown, RI. Deborah D'Amico Bergner practices in South Kingstown, RI and has the professional credentials of LICSW. The NPI Number for Deborah D'Amico Bergner is 1053091835 and holds a License No. ISW04780 (RI). The current practice location address for Deborah D'Amico Bergner is 65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569 and can be reached out via phone at 401-785-0040.

Provider Profile Details

NPI Number
1053091835
Provider Name
Deborah D'Amico Bergner
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569
Phone Number
401-785-0040
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2023
Last Update Date
April 2, 2026
Certification Date
April 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
Zip
02879-2569
Phone Number
401-785-0040
South Kingstown, RI 02879Get directions →

Provider Business Mailing Address Details

Address
65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
City
South Kingstown
State
RI
Zip
02879-2569
Phone Number
401-785-0040

License Information

License Number
ISW04780
License State
RI
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Deborah D Bergner, LICSW?

The NPI number of Deborah D Bergner, LICSW is 1053091835. It was assigned on July 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Deborah D Bergner, LICSW?

Deborah D Bergner, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW04780.

Where does Deborah D Bergner, LICSW practice?

The practice location is 65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569. The office can be reached at 401-785-0040 (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 1053091835 directly on the NPPES registry website.

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