PREFERRED BEHAVIORAL HEALTH
NPI 1972074516
Social Worker - Clinical in Fairview Heights, IL

Active since December 07, 2018
141 MARKET PL, FAIRVIEW HEIGHTS, IL 62208(314) 238-5260 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2019, Feb 1, 2019, Dec 7, 2018 (3 updates tracked since 2018).

About Preferred Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREFERRED BEHAVIORAL HEALTH (NPI 1972074516) is a healthcare organization registered as a clinical in Fairview Heights, Illinois and active in the NPI registry since December 2018. The organization lists Ryan W Morris, Register Agent, as its authorized official.

NPPES Registry Identity

NPI1972074516
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameITIC SUPPORT SERVICES GROUP LLC
Location Address141 MARKET PLFairview Heights, IL 62208-2034
Mailing Address141 Market PlFairview Heights, IL 62208-2034 · (314) 238-5260
Organization SubpartYesParent: Itic Support Services Inc
Authorized OfficialRyan W MorrisRegister Agent · (314) 238-5260
Enumeration DateDecember 7, 2018
Last NPPES UpdateAugust 27, 20193 updates tracked since enumeration
NPI 1972074516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
141 MARKET PL, Fairview Heights, IL 62208

Other Names 2

Doing Business AsPreferred Behavioral Health
Doing Business AsItic Support Services

Other Identifiers 1

Medicaid1164929055IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
141 MARKET PL, SUITE 206
FAIRVIEW HEIGHTS, IL 62208
Social Worker (Clinical)
141 MARKET PL, SUITE 206
FAIRVIEW HEIGHTS, IL 62208
Occupational Therapist
141 MARKET PL, SUITE 203
FAIRVIEW HEIGHTS, IL 62208
Occupational Therapist
141 MARKET PL, SUITE 203
FAIRVIEW HEIGHTS, IL 62208
Occupational Therapist
141 MARKET PL, SUITE 203
FAIRVIEW HEIGHTS, IL 62208
Physical Therapist
141 MARKET PL, SUITE 203
FAIRVIEW HEIGHTS, IL 62208
Physical Therapist
141 MARKET PL, SUITE 203
FAIRVIEW HEIGHTS, IL 62208
Physical Therapist
141 MARKET PL, SUITE 203
FAIRVIEW HEIGHTS, IL 62208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Itic Support Services Group LLC's NPI number?

The NPI number for Itic Support Services Group LLC is 1972074516. It was assigned to this organization in the NPPES registry on December 7, 2018. The provider is doing business as Preferred Behavioral Health and ITIC Support Services.

Where is Itic Support Services Group LLC located?

Itic Support Services Group LLC is located at 141 Market Pl, Fairview Heights, IL 62208. The listed phone number is (314) 238-5260.

What is Itic Support Services Group LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Itic Support Services Group LLC was last updated on August 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.