NPI
Jill Marie Ingersoll
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- LCSW
- Type
- Individual
- Enumeration date
- 2024-02-01
- Last updated
- 2024-02-01
Specialties
Licenses
- License TX
- 67137
Location
- Practice location
- 1010 Blue Water Dr
- City
- Canyon Lake TX
- Postal code
- 78133-5584
- Phone
- (180) 848-9543
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Canyon Lake, TX. 138 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.