Heather Tyler Wooten, LISW, LICDC

NPI #1689187577 in Waverly, Ohio

Provider Information

NPI Number: 1689187577
Entity Type: Individual
Name: Heather Tyler Wooten, LISW, LICDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW, LICDC
Enumeration Date: Nov 14, 2017
Last Updated: Jan 21, 2026

Practice Location

Address: 111 N HIGH ST
City: Waverly
State: Ohio
ZIP Code: 45690-1343
Phone: (740) 370-2896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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