HEATHER TYLER WOOTEN LISW, LICDC
NPI 1689187577
Social Worker - Clinical in Waverly, OH

Active since November 14, 2017PECOS Enrolled
111 N HIGH ST, WAVERLY, OH 45690(740) 370-2896 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 21, 2026, Dec 11, 2018, Mar 22, 2018 and 1 more (4 updates tracked since 2017).

About Heather Tyler Wooten Lisw, Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER TYLER WOOTEN LISW, LICDC (NPI 1689187577) is an individual clinical provider in Waverly, Ohio, licensed in Ohio (I.2507486) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689187577
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER TYLER WOOTENCredential: LISW, LICDC
Location Address111 N HIGH STWaverly, OH 45690-1343
Mailing AddressPo Box 227Waverly, OH 45690-0227 · (740) 947-6727
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 14, 2017
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1689187577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I.2507486
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 162453 (OH)
Also ListedSocial WorkerTaxonomy 104100000X · License S.2309305 (OH)
111 N HIGH ST, Waverly, OH 45690

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Heather Tyler Wooten Lisw, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375027725
PECOS Enrollment IDI20260324001629
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45690 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690
Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690
Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690
Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690
Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690
Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690
Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690
Counselor (Addiction (Substance Use Disorder))
111 N HIGH ST
WAVERLY, OH 45690

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689187577, enumerated as an "individual" on November 14, 2017.

The provider is located at 111 N HIGH ST WAVERLY, OH 45690 and the phone number is (740) 370-2896.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.