Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Itic Support Services Group LLC

Organization Clinical Social Worker · NPI 1972074516

Itic Support Services Group LLC is a Clinical Social Worker in Fairview Heights, Illinois. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

141 Market Pl
Fairview Heights, IL 62208-2034
Phone: (314) 238-5260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1972074516
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationItic Support Services Inc
Authorized official Ryan Morris — Register Agent · (314) 238-5260
Other names Itic Support Services; Preferred Behavioral Health
NPI enumeratedDecember 7, 2018
Last updated in NPPESAugust 27, 2019
Mailing address141 Market Pl, Fairview Heights, IL 62208-2034

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