{"npi":"1912760901","type":"NPI-1","status":"active","name":{"display":"Jill Ingersoll LCSW","other":[],"first":"JILL","last":"INGERSOLL","middle":"MARIE","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"TX","license":"67137"}]},"addresses":[{"purpose":"LOCATION","street_1":"1010 BLUE WATER DR","city":"CANYON LAKE","state":"TX","postal_code":"781335584","country_code":"US","phone":"1808489543"},{"purpose":"MAILING","street_1":"1010 BLUE WATER DR","city":"CANYON LAKE","state":"TX","postal_code":"781335584","country_code":"US","phone":"8084895438"}],"license":{"state":"TX","number":"67137"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241010004242","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"TX","pac_id":"8921530213"}]},"enumeration_date":"2024-02-01","last_updated":"2024-02-01","_meta":{"source":"NPPES","snapshot_date":"2024-02-01","doc_url":"https://findmynpi.com/api"}}