KILLY J. BASCOM LICSW
NPI 1366687006
Social Worker - Clinical in Brattleboro, VT
About Killy J. Bascom Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KILLY J. BASCOM LICSW (NPI 1366687006) is an individual clinical provider in Brattleboro, Vermont, licensed in Vermont (089.0087148) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Killy J. Bascom Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Killy Bascom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brattleboro, VT 05301
- Reassigned Medicare billing, Vermont enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Killy Bascom's NPI number?
The NPI number for Killy Bascom is 1366687006. It was assigned to this individual provider in the NPPES registry on December 10, 2008.
Where is Killy Bascom located?
Killy Bascom practices at 1222 Putney Rd, Brattleboro, VT 05301. The listed phone number is (802) 662-1655.
What is Killy Bascom's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Killy Bascom enrolled in Medicare?
Yes. Killy Bascom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Killy Bascom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Killy Bascom reassigns Medicare benefits to Killy Bascom, Licsw, PLLC (Brattleboro, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Killy Bascom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Killy Bascom accept?
Health plans from Anthem Blue Cross and Blue Shield list Killy Bascom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Killy Bascom was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Killy J. Bascom, LICSW · NPI 1366687006
Clinical provider in Brattleboro, Vermont. Individual provider, active in the CMS NPPES registry since December 10, 2008.
## Identity
- **NPI:** 1366687006 (Entity type: Individual)
- **Enumerated:** December 10, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 089.0087148 (Vermont)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1222 PUTNEY RD, Brattleboro, VT 05301-9000
- **Phone:** (802) 662-1655
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Killy Bascom, Licsw, PLLC (NPI 1316323223, Brattleboro, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** October 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366687006) · Data from the CMS NPPES public registry.