Killy J. Bascom, LICSW
NPI 1366687006ActiveIndividual· Social Worker, Clinical· Brattleboro, VT
Social Worker, Clinical (LICSW) in Brattleboro, Vermont, trained at Boston University School of Medicine (class of 2007). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1366687006 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Dec 10, 2008 |
| Last updated in NPPES | Oct 28, 2024 |
| Certified by provider | Oct 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 089.0087148 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (VT) |
|---|
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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