Active NPI
Aidan Jared Wightman, LMSW
- Social Worker
- Mattituck, NY
National Provider Identifier
1427952084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 133311
- Practice address
- 7555 Main Rd
Mattituck, NY 11952-1516 - Phone
- (631) 298-8642
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 133311 | NY | Primary |
Addresses
Primary practice location
7555 Main Rd
Mattituck, NY 11952-1516
Mailing address
98 Waterview Dr
Sound Beach, NY 11789-1034
Phone (631) 697-9711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1427952084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 WATERVIEW DR",
"city": "SOUND BEACH",
"state": "NY",
"postal_code": "117891034",
"telephone_number": "631-697-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 MAIN RD",
"city": "MATTITUCK",
"state": "NY",
"postal_code": "119521516",
"telephone_number": "631-298-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGHTMAN",
"first_name": "AIDAN",
"middle_name": "JARED",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "133311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattituck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.