OrganizationActive
Positive Potential
NPI 1356374706 · Clinical Social Worker · Bend, OR
Provider details
- NPI number
- 1356374706
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Judith Boone, President(541) 312-3090
- License
- L3116 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
336 Ne Norton Ave
Suite 3
Bend, OR 97701-4350
Phone: (541) 312-3090
Fax: (541) 317-8488
Street-level locationGet directions
Mailing address
336 Ne Norton Ave
Bend, OR 97701-4350
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.