Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Tyler Wooten, LISW, LICDC

Individual provider Social Worker · NPI 1689187577

Heather Tyler Wooten, LISW, LICDC is a Clinical Social Worker in Waverly, Ohio. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Practice location Address checks out

111 N High St
Waverly, OH 45690-1343
Phone: (740) 370-2896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2507486 (OH)
Social Worker Taxonomy 104100000X · Licence S.2309305 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 162453 (OH)

Record details

NPI number1689187577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW , LICDC
Sole proprietorYes
NPI enumeratedNovember 14, 2017
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Waverly