BLUE WATER THERAPISTS, PLLC
NPI 1093546152
Social Worker - Clinical in Canyon Lake, TX

Active since August 12, 2024
1010 BLUE WATER DR, CANYON LAKE, TX 78133(830) 730-2705 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Water Therapists, Pllc NPPES

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

BLUE WATER THERAPISTS, PLLC (NPI 1093546152) is a healthcare organization registered as a clinical in Canyon Lake, Texas and active in the NPI registry since August 2024. The organization lists Jill Marie Ingersoll, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1093546152
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLUE WATER THERAPISTS, PLLC
Location Address1010 BLUE WATER DRCanyon Lake, TX 78133-5584
Mailing Address1010 Blue Water DrCanyon Lake, TX 78133-5584 · (808) 489-5438
Organization SubpartNo
Authorized OfficialJill Marie IngersollManaging Member · (830) 730-2705
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 11, 2024
NPI 1093546152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1010 BLUE WATER DR, Canyon Lake, TX 78133

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1010 BLUE WATER DR
CANYON LAKE, TX 78133

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 Blue Water Therapists, PLLC's NPI number?

The NPI number for Blue Water Therapists, PLLC is 1093546152. It was assigned to this organization in the NPPES registry on August 12, 2024.

Where is Blue Water Therapists, PLLC located?

Blue Water Therapists, PLLC is located at 1010 Blue Water Dr, Canyon Lake, TX 78133. The listed phone number is (830) 730-2705.

What is Blue Water Therapists, PLLC'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 Blue Water Therapists, PLLC was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.