Killy J Bascom, LICSW
Social Worker, Clinical in Brattleboro, Vermont
1366687006- Practice location
- 1222 Putney RD, Brattleboro, VT 05301-9000
- Phone
- 802-662-1655
- Fax
- —
- Last updated
- October 28, 2024
Killy J. Bascom is a Social Worker, Clinical based in Brattleboro, VT. Killy J. Bascom practices in Brattleboro, VT and has the professional credentials of LICSW. The NPI Number for Killy J. Bascom is 1366687006 and holds a License No. 089.0087148 (VT). The current practice location address for Killy J. Bascom is 1222 Putney RD, Brattleboro, VT 05301-9000 and can be reached out via phone at 802-662-1655.
Provider Profile Details
- NPI Number
- 1366687006
- Provider Name
- Killy J. Bascom
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1222 Putney RD, Brattleboro, VT 05301-9000
- Phone Number
- 802-662-1655
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 10, 2008
- Last Update Date
- October 28, 2024
- Certification Date
- October 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1222 Putney RD
Brattleboro, VT 05301-9000 - City
- Brattleboro
- State
- Vermont
- Zip
- 05301-9000
- Phone Number
- 802-662-1655
Provider Business Mailing Address Details
- Address
- Po Box 8473
Brattleboro, VT 05304-8473 - City
- Brattleboro
- State
- VT
- Zip
- 05304-8473
- Phone Number
- 802-246-1221
- Fax Number
- 802-662-1655
License Information
- License Number
- 089.0087148
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Brattleboro, VT
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- Alexandra Keep PLLCSocial Worker, Clinical · NPI 1982330031
- Anne M Little, LICSWSocial Worker, Clinical · NPI 1992842447
- Billie J Hagen, LICSWSocial Worker, Clinical · NPI 1356742274
Frequently Asked Questions
What is the NPI number of Killy J Bascom, LICSW?
The NPI number of Killy J Bascom, LICSW is 1366687006. It was assigned on December 10, 2008 and is currently active in the NPPES registry.
What is the specialty of Killy J Bascom, LICSW?
Killy J Bascom, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0087148.
Where does Killy J Bascom, LICSW 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 1366687006 directly on the NPPES registry website.