Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deborah D'Amico Bergner, LICSW

Individual provider Clinical Social Worker · NPI 1053091835

Deborah D'Amico Bergner, LICSW is a Clinical Social Worker in South Kingstown, Rhode Island. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Rhode Island.

Years since qualifying
3
Licensed in
RI
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
Phone: (401) 785-0040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04780 (RI)

Record details

NPI number1053091835
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 18, 2023
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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