Individual provider · Type 1 NPI

Killy J. Bascom, LICSW

Clinical Social Worker · Brattleboro, VT

NPI number 1366687006 Active

Practice location

1222 Putney Rd
Brattleboro, VT 05301-9000

Mailing address

PO Box 8473
Brattleboro, VT 05304-8473

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089.0087148 (VT)

Clinical Social Worker: 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 interpers…

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About NPI 1366687006

Killy J. Bascom, LICSW's National Provider Identifier is 1366687006, issued on Dec 10, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brattleboro, VT. The record was last updated on Oct 28, 2024.