Provider Demographics
NPI:1538035514
Name:LEWIS, HALEY ROMBERGER (CSW)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:ROMBERGER
Last Name:LEWIS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5504 S AVALON DR
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-6224
Mailing Address - Country:US
Mailing Address - Phone:801-472-1576
Mailing Address - Fax:
Practice Address - Street 1:5504 S AVALON DR
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6224
Practice Address - Country:US
Practice Address - Phone:801-472-1576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14224032-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical