Blue Water Therapists, PLLC
NPI 1093546152 · Clinical Social Worker · Canyon Lake, TX
Blue Water Therapists, PLLC is a Clinical Social Worker organization in Canyon Lake, TX (NPI 1093546152).
Provider details
- NPI number
- 1093546152
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jill Ingersoll, Managing Member(830) 730-2705
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-12
- Last updated
- 2024-08-12
- Certified
- 2024-08-11
Frequently asked questions
- What is Blue Water Therapists, PLLC's NPI number?
- Blue Water Therapists, PLLC's National Provider Identifier (NPI) is 1093546152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Therapists, PLLC?
- Blue Water Therapists, PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Blue Water Therapists, PLLC located?
- Blue Water Therapists, PLLC's practice location on file with NPPES is 1010 Blue Water Dr, Canyon Lake, TX 78133-5584.
- What is Blue Water Therapists, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Therapists, PLLC is (830) 730-2705.
- Who is the authorized official for Blue Water Therapists, PLLC?
- The authorized official listed on Blue Water Therapists, PLLC's NPPES record is Jill Ingersoll, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Therapists, PLLC's NPI active?
- Yes — Blue Water Therapists, PLLC's NPI (1093546152) is active in the NPPES registry as of the last update on 2024-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.