NPI age
19 years
Enumerated 2006-10-02
● Active
Type 1 · Individual
Bret V. Wixom, LCSW
Wixom is 1 of 183 social worker providers in Idaho Falls and 1 of 2000 in Idaho.
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2000 active social worker providers in Idaho.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
4344 E Nibley Cir
Idaho Falls, ID 834013783
Mailing address
4344 E Nibley Cir
Idaho Falls, ID 834013783
Specialties
-
Social Worker PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | L2649 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010143064 | REGENCE BLUE SHIELD OF ID |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 7 new social worker providers have been added in Idaho Falls in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.