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

Active since November 14, 2017PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Tyler Wooten Lisw, Licdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Tyler Wooten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder
321 E COURT ST
Washington Court House, OH 43160
  • Reassigned Medicare billing, Ohio enrollment
  • 36 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
8044 MONTGOMERY RD STE 120
Cincinnati, OH 45236
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Tyler Wooten's NPI number?

The NPI number for Heather Tyler Wooten is 1689187577. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Heather Tyler Wooten located?

Heather Tyler Wooten practices at 111 N High St, Waverly, OH 45690. The listed phone number is (740) 370-2896.

What is Heather Tyler Wooten's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heather Tyler Wooten enrolled in Medicare?

Yes. Heather Tyler Wooten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heather Tyler Wooten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Tyler Wooten reassigns Medicare benefits to 2 organizations: Autumn Treatment Center LLC (Washington Court House, OH) and Radley Health Inc (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Tyler Wooten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Tyler Wooten accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Heather Tyler Wooten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Tyler Wooten was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.