Individual provider · Type 1 NPI

Heather Tyler Wooten, LISW, LICDC

Clinical Social Worker · Waverly, OH

NPI number 1689187577 Active

Practice location

111 N High St
Waverly, OH 45690-1343

Mailing address

PO Box 227
Waverly, OH 45690-0227

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.2309305 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X162453 (OH)
Clinical Social Worker Primary 1041C0700XI.2507486 (OH)

Clinical Social Worker: 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 interpers…

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About NPI 1689187577

Heather Tyler Wooten, LISW, LICDC's National Provider Identifier is 1689187577, issued on Nov 14, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waverly, OH. The record was last updated on Jan 21, 2026.