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Contact Information

SWORN REFUGE LLC
17 WOODPORT RD STE 2B
SPARTA TOWNSHIP, NJ07871-2415
 Phone: 201-679-3843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SWORN REFUGE LLC · (Female)

NPI # 1558201285
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2026
Last updated 03/31/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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