Ms Misty Smith Pilgrim, MED, MA, LICSW is a
Social Worker - Clinical based in Port Ludlow, Washington. Ms Misty Smith Pilgrim is licensed to practice in Washington (license number LW61557825) and her current practice location is
46 Village Way # 107, Port Ludlow, Washington. She can be reached at her office (for appointments etc.) via phone at
(505) 501-8293.
NPI number for Ms Misty Smith Pilgrim is 1790019826 and her current mailing address is 46 Village Way # 107, Port Ludlow, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790019826.
Healthcare Provider's Profile
Full Name | Ms Misty Smith Pilgrim |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 46 Village Way # 107, Port Ludlow, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790019826
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 07/08/2024
Medical Identifiers
Medical identifiers for Ms Misty Smith Pilgrim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790019826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SWB-2022-0189 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | LW61557825 (Washington) | Primary |
1041C0700X | Social Worker - Clinical | LCSW-5066 (Hawaii) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Misty Smith Pilgrim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Misty Smith Pilgrim, MED, MA, LICSW 46 Village Way # 107, Port Ludlow, WA 98365-5102 Ph: (505) 501-8293 | Ms Misty Smith Pilgrim, MED, MA, LICSW 46 Village Way # 107, Port Ludlow, WA 98365-5102 Ph: (505) 501-8293 |
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