Mimir Jottun Everett, MS, LCSW in Albuquerque, NM - Medicare Clinical Social Worker Provider

Mimir Jottun Everett, MS, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Albuquerque, New Mexico. graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. is a member of the group practice Trail Ahead Therapy Llc and current practice location is 901 Rio Grande Blvd Nw Ste G252, Albuquerque, New Mexico. You can reach out to office (for appointments etc.) via phone at (505) 702-8112.

Mimir Jottun Everett is licensed to practice in New Mexico (license number C-11784) and also participates in the medicare program. accepts medicare assignments (which means accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and NPI Number is 1790355477.

Contact Information

	Mimir Jottun Everett, MS, LCSW
	901 Rio Grande Blvd Nw Ste G252, Albuquerque, NM 87104-2050
	(505) 702-8112
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mimir Jottun Everett
Gender
Speciality	Clinical Social Worker
Experience	10 Years
Location	901 Rio Grande Blvd Nw Ste G252, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mimir Jottun Everett graduated from medical school in 2016

NPI Data:

NPI Number: 1790355477
Provider Enumeration Date: 06/25/2021
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 7113320912
Enrollment ID: I20210729003996

Medical Identifiers

Medical identifiers for Mimir Jottun Everett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790355477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	26642 (North Dakota)	Secondary
1041C0700X	Social Worker - Clinical	C-11784 (New Mexico)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trail Ahead Therapy Llc	4789096884	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mimir Jottun Everett allows following entities to bill medicare on behalf.

Entity Name	Sage Neuroscience Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578644415 PECOS PAC ID: 5395840383 Enrollment ID: O20070419000586

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. Mimir Jottun Everett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mimir Jottun Everett, MS, LCSW 901 Rio Grande Blvd Nw Ste G252, Albuquerque, NM 87104-2050 Ph: (505) 720-8112	Mimir Jottun Everett, MS, LCSW 901 Rio Grande Blvd Nw Ste G252, Albuquerque, NM 87104-2050 Ph: (505) 702-8112

Reviews and Comments

Social Worker in Albuquerque, NM

Mrs. Jeniffer Lynn Lang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Virginia St Ne Ste 400, Albuquerque, NM 87110 Phone: 505-291-6314
Ms. Danelle W Marshall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677
Mariah Vasquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329
Anna Marie Gonzales, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329
Lyric Lawson-parks, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 707 Broadway Blvd Ne, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677
Samuel Hufnagel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 4th St Nw Ste 102, Albuquerque, NM 87102 Phone: 505-705-9636
Bintou Demba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111 Phone: 505-550-1011

Mimir Jottun Everett, MS, LCSW - Medicare Clinical Social Worker in Albuquerque, NM