Killy J. Bascom, LICSW

Clinical Social Worker · Brattleboro, VT

Individual Active NPI

NPI number 1366687006

Practice location

1222 Putney Rd
Brattleboro, VT 05301-9000
Phone
(802) 662-1655

Open in Google Maps

NPI record

NPI
1366687006
Entity type
Individual (Type 1)
Enumeration date
December 10, 2008
Last updated
October 28, 2024
Certified
October 28, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 089.0087148 VT

Mailing address

PO Box 8473
Brattleboro, VT 05304-8473
Phone
(802) 246-1221
Fax
(802) 662-1655

About Killy Bascom

Killy J. Bascom, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1222 Putney Rd, Brattleboro, VT 05301-9000. The NPI number 1366687006 was assigned on December 10, 2008 and the record was last updated on October 28, 2024.

Killy Bascom lists a license in the registry: #089.0087148 (VT) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Killy J. Bascom, LICSW?

The NPI number is 1366687006.

What is the phone number of Killy Bascom?

The phone number listed for the practice location is (802) 662-1655.

Where is Killy Bascom located?

1222 Putney Rd, Brattleboro, VT 05301-9000.

What is the taxonomy code for Killy Bascom?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Social Worker providers in Brattleboro

All Clinical Social Worker providers in Brattleboro, VT →