Active NPI
Andrew J Wilton, LCSW
- Clinical Social Worker
- East Aurora, NY
National Provider Identifier
1043616683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085888
- Practice address
- 300 Gleed Ave
East Aurora, NY 14052-2983 - Phone
- (716) 222-9066
- NPI assigned
- Nov 10, 2014
- Last updated
- Jun 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 085888 | NY | Primary |
Addresses
Primary practice location
300 Gleed Ave
East Aurora, NY 14052-2983
Mailing address
300 Gleed Ave
East Aurora, NY 14052-2983
Phone (716) 222-9066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 28, 2022 through Sep 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085888 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1043616683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GLEED AVE",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140522983",
"telephone_number": "716-222-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GLEED AVE",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140522983",
"telephone_number": "716-222-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTON",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-10",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Aurora, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.