Heather Tyler Wooten, LICDC, LSW is a
Social Worker based in Waverly, Ohio. Heather Tyler Wooten is licensed to practice in Ohio (license number S.2309305) and her current practice location is
111 N High St, Waverly, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 370-2896.
NPI number for Heather Tyler Wooten is 1689187577 and her current mailing address is Po Box 227, Waverly, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689187577.
Healthcare Provider's Profile
| Full Name | Heather Tyler Wooten |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 111 N High St, Waverly, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689187577
- Provider Enumeration Date: 11/14/2017
- Last Update Date: 03/19/2024
Medical Identifiers
Medical identifiers for Heather Tyler Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689187577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161648 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 120878 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2309305 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Tyler Wooten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heather Tyler Wooten, LICDC, LSW
Po Box 227,
Waverly, OH 45690-0227
Ph: (740) 947-6727 | Heather Tyler Wooten, LICDC, LSW
111 N High St,
Waverly, OH 45690-1343
Ph: (740) 370-2896 |
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