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

Q: 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.

Q: What is Heather Tyler Wooten's specialty?

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

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: August 16, 2026.

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

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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

Phone(740) 370-2896

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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.

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