Individual provider · Type 1 NPI

Bret V. Wixom, LCSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1720171358 Active

Practice location

4344 E Nibley Cir
Idaho Falls, ID 83401-3783

Fax (208) 538-2233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24803 (ID)
Clinical Social Worker 1041C0700X5450383-3501 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

2 other providers at this address

Other clinical social worker providers in Idaho Falls

See all in Idaho Falls →

About NPI 1720171358

Bret V. Wixom, LCSW's National Provider Identifier is 1720171358, issued on Oct 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 14, 2026.