MS. MISTY SMITH PILGRIM MED, MA, LICSW
NPI 1790019826
Social Worker - Clinical in Port Ludlow, WA

Active since September 22, 2009Opted out of Medicare · through May 5, 2027
46 VILLAGE WAY # 107, PORT LUDLOW, WA 98365(505) 501-8293(505) 521-5149 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 8, 2024, Apr 12, 2024 (2 updates tracked since 2024).

About Ms. Misty Smith Pilgrim Med, Ma, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MISTY SMITH PILGRIM MED, MA, LICSW (NPI 1790019826) is an individual clinical provider in Port Ludlow, Washington, licensed in Washington (LW61557825) and active in the NPI registry since September 2009. She has opted out of Medicare through May 5, 2027.

NPPES Registry Identity

NPI1790019826
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MISTY SMITH PILGRIMCredential: MED, MA, LICSW
Location Address46 VILLAGE WAY # 107Port Ludlow, WA 98365-5102
Mailing Address46 Village Way # 107Port Ludlow, WA 98365-5102 · (505) 501-8293 · Fax (505) 521-5149
Fax(505) 521-5149
Sole ProprietorNo
Enumeration DateSeptember 22, 2009
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1790019826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW61557825✔ Licensed in NM · SWB-2022-0189✔ Licensed in HI · LCSW-5066
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
46 VILLAGE WAY # 107, Port Ludlow, WA 98365

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Misty Smith Pilgrim Med, Ma, Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2025 through May 5, 2027.

Opt-Out Effective DateMay 5, 2025
Opt-Out In Effect ThroughMay 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Pilgrim's NPI number?

The NPI number for Misty Pilgrim is 1790019826. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Misty Pilgrim located?

Misty Pilgrim practices at 46 Village Way # 107, Port Ludlow, WA 98365. The listed phone number is (505) 501-8293.

What is Misty Pilgrim's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Misty Pilgrim enrolled in Medicare?

No. Misty Pilgrim has opted out of Medicare through May 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Misty Pilgrim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Misty Pilgrim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Misty Pilgrim was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.