Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MISTY SMITH PILGRIM, MED, MA, LICSW
ActiveClinical Social Worker · PORT LUDLOW, WA
Registration Details
- NPI Number
- 1790019826
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2009 (16.641144552261 yrs)
- Last Updated
- Jul 8, 2024
- Licenses
-
SWB-2022-0189 (NM)LW61557825 (WA)LCSW-5066 (HI)
Practice Information
- Address
-
46 VILLAGE WAY # 107PORT LUDLOW, WA, 983655102Browse WA providers · Browse ZIP 98365
- Phone
- 5055018293
- Fax
- 5055215149
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.