Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN WIXOM, LSW
ActiveBRIAN WIXOM, LSW is a Social Worker healthcare provider located in BOISE, Idaho. NPI 1619331535 is currently active in the NPPES registry. Verify at CMS.
Social Worker · BOISE, ID
Registration Details
- NPI Number
- 1619331535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2016 (10.360877958747 yrs)
- Last Updated
- Dec 2, 2025
- License
-
LSW-2466 (ID)
Practice Information
- Address
-
1720 N WESTGATE DR STE A-1BOISE, ID, 837047164Browse ID providers · Browse ZIP 83704
- Phone
- 2083340734
- Fax
- 2083340812
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JEANNE MELTON | MSW | 1619986957 |
| MR. JOSHUA CHARLES BODE | LCSW | 1003826405 |
| MRS. NANCY LEE DANIELS | LMSW | 1386655827 |
| MR. THOMAS JAMES HOGAN | LMSW | 1043223720 |
| MR. DAVID A TEED | LCSW | 1437261401 |
| MS. GAIL M BACCHESCHI | MSW | 1154404341 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.