Provider Demographics
NPI:1538862040
Name:ROMER, HAYLIE ELIZABETH (LSW, MSW)
Entity type:Individual
Prefix:
First Name:HAYLIE
Middle Name:ELIZABETH
Last Name:ROMER
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 CASTLETON DR
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-1104
Mailing Address - Country:US
Mailing Address - Phone:765-721-2809
Mailing Address - Fax:
Practice Address - Street 1:35 BOB BABBS DR
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IN
Practice Address - Zip Code:47460-6828
Practice Address - Country:US
Practice Address - Phone:765-721-2809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33010919A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker