JILL MARIE INGERSOLL LCSW
NPI 1912760901
Social Worker - Clinical in Canyon Lake, TX

Active since February 01, 2024PECOS EnrolledAccepts Medicare Assignment
1010 BLUE WATER DR, CANYON LAKE, TX 78133(180) 848-9543 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jill Marie Ingersoll Lcsw NPPES

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

JILL MARIE INGERSOLL LCSW (NPI 1912760901) is an individual clinical provider in Canyon Lake, Texas, licensed in Texas (67137) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912760901
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILL MARIE INGERSOLLCredential: LCSW
Location Address1010 BLUE WATER DRCanyon Lake, TX 78133-5584
Mailing Address1010 Blue Water DrCanyon Lake, TX 78133-5584 · (808) 489-5438
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1912760901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TX · 67137
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jill Marie Ingersoll Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921530213
PECOS Enrollment IDI20241010004242
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

The NPI number assigned to this healthcare provider is 1912760901, enumerated as an "individual" on February 01, 2024.

The provider is located at 1010 BLUE WATER DR CANYON LAKE, TX 78133 and the phone number is (180) 848-9543.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar. Please consult your insurance carrier or call the provider to verify.