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

Individual provider Clinical Social Worker · NPI 1366687006

Killy J. Bascom, LICSW is a Clinical Social Worker in Brattleboro, Vermont. Graduated from Boston University School of Medicine in 2007, 19 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
19
Trained at
Boston University School of Medicine
Licensed in
VT
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1222 Putney Rd
Brattleboro, VT 05301-9000
Phone: (802) 662-1655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0087148 (VT)

Record details

NPI number1366687006
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 10, 2008
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing addressPo Box 8473, Brattleboro, VT 05304-8473

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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