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DEBORAH D'AMICO BERGNER LICSW
NPI 1053091835
Social Worker - Clinical in South Kingstown, RI

Active since July 18, 2023PECOS Enrolled
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879(401) 785-0040 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Mar 18, 2026, Oct 10, 2025 and 1 more (4 updates tracked since 2023).

About Deborah D'amico Bergner Licsw NPPES

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

DEBORAH D'AMICO BERGNER LICSW (NPI 1053091835) is an individual clinical provider in South Kingstown, Rhode Island, licensed in Rhode Island (ISW04780) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053091835
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBORAH D'AMICO BERGNERCredential: LICSW
Location Address65 VILLAGE SQUARE DR STE 302South Kingstown, RI 02879-2569
Mailing Address65 Village Square Dr Ste 302South Kingstown, RI 02879-2569 · (401) 785-0040
Phone(401) 785-0040
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 18, 2023
Last NPPES UpdateApril 2, 20264 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1053091835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW04780
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
65 VILLAGE SQUARE DR STE 302, South Kingstown, RI 02879
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah D'amico Bergner Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113419060
PECOS Enrollment IDI20251126003017
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA DAVIDSON NP
Nurse Practitioner (Psychiatric/Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
ALEXIS DESJARDINS LICSW
Social Worker (Clinical)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
APRILE ROSE DALEY LICSW
Social Worker (Clinical)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
DANIELA MONICA ZBONA PHD
Psychologist
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
ABIGAIL OWEN POST DOCTORATE
Student in an Organized Health Care Education/Training Program
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (877) 910-1878
JODY ANN EYRE LMFT
Marriage & Family Therapist
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
RACHEL F MIKUTEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (310) 905-2111
MRS. KATHERINE ROY LMHC, LCDP, MFT
Counselor (Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Bergner's NPI number?

The NPI number for Deborah Bergner is 1053091835. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Deborah Bergner located?

Deborah Bergner practices at 65 Village Square Dr Ste 302, South Kingstown, RI 02879. The listed phone number is (401) 785-0040.

What is Deborah Bergner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Deborah Bergner enrolled in Medicare?

Yes. Deborah Bergner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deborah Bergner was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.