Organization Active NPI

The Refuge Therapeutic Service LLC

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1619730876
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE REFUGE THERAPEUTIC SERVICE LLC
Practice address
4650 S National Ave Ste C1
Springfield, MO 65810-2895
Phone
(660) 243-4363
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherrie WallaceNPI 1528491529
Title
Manager
Phone
(801) 726-9573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4650 S National Ave Ste C1
Springfield, MO 65810-2895

Mailing address

4650 S National Ave Ste C1
Springfield, MO 65810-2895
Phone (660) 243-4363

Other practice location 1

4415 W Stone Ridge Rd
Battlefield, MO 65619-9845
Phone (801) 726-9573

Other names 1

  • The Refuge Doing business as

National Provider Directory

National Provider Directory

Locations

4650 S National Ave
Ste C1
Springfield, MO 65810
Phone (660) 243-4363

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1619730876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE STE C1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102895",
            "telephone_number": "660-243-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S NATIONAL AVE STE C1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102895",
            "telephone_number": "660-243-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 W Stone Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Battlefield",
            "state": "MO",
            "postal_code": "656199845",
            "country_code": "US",
            "telephone_number": "801-726-9573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE REFUGE THERAPEUTIC SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-726-9573"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Refuge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Refuge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.