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

Bret V Wixom, LCSW

Individual provider Clinical Social Worker · NPI 1720171358

Bret V Wixom, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Licensed in Idaho and Utah. Registered with an NPI since 2006.

Licensed in
ID, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4344 E Nibley Cir
Idaho Falls, ID 83401-3783
Phone: (208) 521-4433
Fax: (208) 538-2233
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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 24803 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 5450383-3501 (UT)

Record details

NPI number1720171358
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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