Active NPIOrganization

Killy Bascom, Licsw, PLLC

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1316323223
Practice location
1222 Putney RD, Brattleboro, VT 05301-9000
Fax
—
Last updated
September 2, 2025

Killy Bascom, Licsw, PLLC is a healthcare organization based in Brattleboro, VT. Killy Bascom, Licsw, PLLC practices in Brattleboro, VT. The NPI Number for Killy Bascom, Licsw, PLLC is 1316323223 and holds a License No. 0890087148 (VT). The current practice location address for Killy Bascom, Licsw, PLLC is 1222 Putney RD, Brattleboro, VT 05301-9000 and can be reached out via phone at 802-662-1655.

Provider Profile Details

NPI Number
1316323223
Provider Name
Killy Bascom, Licsw, PLLC
Provider Entity Type
Organization
Address
1222 Putney RD, Brattleboro, VT 05301-9000
Phone Number
802-662-1655
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Killy Bascom, LICSW · Owner · 802-662-1655
Other Names
Village Couseling Associates (Doing Business As)
Provider Enumeration Date
August 3, 2015
Last Update Date
September 2, 2025
Certification Date
November 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1222 Putney RD
Brattleboro, VT 05301-9000
State
Vermont
Zip
05301-9000
Phone Number
802-662-1655
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
Po Box 8473
Brattleboro, VT 05304-8473
City
Brattleboro
State
VT
Zip
05304-8473
Phone Number
802-662-1655
Fax Number
802-662-1655

License Information

License Number
0890087148
License State
VT
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 Killy Bascom, Licsw, PLLC?

The NPI number of Killy Bascom, Licsw, PLLC is 1316323223. It was assigned on August 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Killy Bascom, Licsw, PLLC?

Killy Bascom, Licsw, PLLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890087148.

Where does Killy Bascom, Licsw, PLLC practice?

The practice location is 1222 Putney RD, Brattleboro, VT 05301-9000. The office can be reached at 802-662-1655 (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 1316323223 directly on the NPPES registry website.

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