Positive Potential

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3116 Issued in OR

Legal business name

POSITIVE POTENTIAL

Practice address

336 NE Norton Ave
Suite 3
Bend, OR 97701-4350

Phone

(541) 312-3090

Fax

(541) 317-8488

NPI assigned

Jul 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Judith Marie Boone, LCSWNPI 1225124159

Title

President

Phone

(541) 312-3090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith M. Boone, LCSW

  • Clinical Social Worker
  • Bend, OR
  • NPI 1225124159
  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356374706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE",
            "address_2": "SUITE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014350",
            "telephone_number": "541-312-3090",
            "fax_number": "541-317-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE",
            "address_2": "SUITE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014350",
            "telephone_number": "541-312-3090",
            "fax_number": "541-317-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-312-3090",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Porter
• Zack J Porter, D.D.S
• Portland Vamc
• Linda Krug Porzelius, PH.D.
• Naomi Louise Posh, LMT
• Elizabeth A Potvin, OD
• Lindsey Pouillon, MS
• Pour Over Counseling LLC
• Caila Powell
• Claire Powell, M.S., CCC-SLP

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.