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

Brian Wixom, LSW

Individual provider Social Worker · NPI 1619331535

Brian Wixom, LSW is a Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1720 N Westgate Dr Ste A-1
Boise, ID 83704-7164
Phone: (208) 334-0734
Fax: (208) 334-0812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LSW-2466 (ID)

Record details

NPI number1619331535
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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