Organization · Type 2 NPI

Preferred Behavioral Health Mso, Inc.

Clinical Social Worker · Fairview Heights, IL

NPI number 1962014472 Active

Practice location

141 Market Pl Ste 100
Fairview Heights, IL 62208-2089

Fax (618) 398-1759

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Psychiatry Physician	2084P0800X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

3 other providers at this address

Other clinical social worker providers in Fairview Heights

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NPI record

NPI: 1962014472
Entity type: Organization (Type 2)
Issued: Aug 18, 2020
Last updated: Aug 18, 2020
Status: Active

Other names

Preferred Behavioral Health · doing business as
Itic Support Services, Inc. · former legal business name

Authorized official

Ryan W Morris
President
(217) 242-7718

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About NPI 1962014472

Preferred Behavioral Health Mso, Inc.'s National Provider Identifier is 1962014472, issued on Aug 18, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairview Heights, IL. The record was last updated on Aug 18, 2020.