OrganizationActive
Innovative Support Services LLC
NPI 1639797657 · Clinical Social Worker · Roaring Spring, PA
Provider details
- NPI number
- 1639797657
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jodi Bishop, Ceo(814) 631-9477
Specialties & taxonomies
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
8344 Woodbury Pike Unit 101
Roaring Spring, PA 16673-8107
Phone: (814) 934-4351
Fax: (814) 201-2035
Street-level locationGet directions
Mailing address
630 Pleasant Valley Blvd Ste C
Altoona, PA 16602-4871
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2020-07-07
- Certified
- 2020-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.