Individual provider · Type 1 NPI
Jill Marie Ingersoll, LCSW
Clinical Social Worker · Canyon Lake, TX
Practice location
1010 Blue Water Dr
Canyon Lake, TX 78133-5584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 67137 (TX) |
Clinical Social Worker: 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 interpers…
Another provider at this address
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About NPI 1912760901
Jill Marie Ingersoll, LCSW's National Provider Identifier is 1912760901, issued on Feb 1, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canyon Lake, TX. The record was last updated on Feb 1, 2024.