Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619331535 Individual Practitioner Male Practitioner

Brian Wixom , LSW

Social Worker • Boise, ID

Professional Overview & Biography Verified Profile Summary

Brian Wixom, LSW is a registered healthcare professional specializing in Social Worker in Boise, ID. Practice services are available at 1720 N WESTGATE DR STE A-1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1720 N Westgate Dr Ste A-1

Boise, ID 837047164

Telephone 2083340734
Fax 2083340812

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
470 Specialists

Practicing in Boise, ID (1625 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-02
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License ID LSW-2466

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Amy Balzer , LCSW

Social Worker - Clinical

NPI 1013379536

Licensed Clinical Social Worker

NPI 1043742943

Licensed Master Social Worker

NPI 1063752764

Licensed Professional Counselor

Brandie Kruger , LCSW

Social Worker - Clinical

NPI 1174978555

Licensed Clinical Social Worker

Lylena Self , LCSW

Case Manager/Care Coordinator

NPI 1295093789

Licensed Clinical Social Worker

Karla Carcas

Social Worker - Clinical

NPI 1396107660

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2016

Registered at 1720 N WESTGATE DR STE A-1, BOISE, ID 837047164 (Tel: 2083340734)

📍
Updated Business Mailing Address April 06, 2016

Registered at 1720 N WESTGATE DR STE A-1, BOISE, ID 837047164 (Tel: 2083340734)

👤
Provider Name / Credentials Updated April 06, 2016

Recorded as BRIAN WIXOM, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Social Worker (License #LSW-2466 in ID)

🟢
Initial NPI Registration & Enumeration April 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619331535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2016
Last Update: December 02, 2025
Sole Proprietor: No

Mailing Address

1720 N Westgate Dr Ste A-1

Boise, ID 837047164

Phone: 2083340734

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.