Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Water Therapists, PLLC

Organization Clinical Social Worker · NPI 1093546152

Blue Water Therapists, PLLC is a Clinical Social Worker in Canyon Lake, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1010 Blue Water Dr
Canyon Lake, TX 78133-5584
Phone: (830) 730-2705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1093546152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Ingersoll — Managing Member · (830) 730-2705
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 11, 2024
Mailing address1010 Blue Water Dr, Canyon Lake, TX 78133-5584

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