MIMIR JOTTUN EVERETT MS, LCSW
NPI 1790355477
Social Worker - Clinical in Albuquerque, NM

Active since June 25, 2021PECOS EnrolledAccepts Medicare Assignment
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104(505) 702-8112 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2025, Feb 3, 2025, Jun 25, 2021 (3 updates tracked since 2021).

About Mimir Jottun Everett Ms, Lcsw NPPES

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

MIMIR JOTTUN EVERETT MS, LCSW (NPI 1790355477) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (C-11784) and active in the NPI registry since June 2021. The provider is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790355477
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameMIMIR JOTTUN EVERETTCredential: MS, LCSW
Location Address901 RIO GRANDE BLVD NW STE G252Albuquerque, NM 87104-2050
Mailing Address901 Rio Grande Blvd Nw Ste G252Albuquerque, NM 87104-2050 · (505) 720-8112
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 25, 2021
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1790355477 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 NM · C-11784 Licensed in ND · 26642
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.
901 RIO GRANDE BLVD NW STE G252, Albuquerque, NM 87104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mimir Jottun Everett Ms, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113320912
PECOS Enrollment IDI20210729003996
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104
Social Worker
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104
Counselor (Mental Health)
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104
Counselor (Professional)
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104
Social Worker (Clinical)
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104
Social Worker (Clinical)
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104
Social Worker
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104
Counselor (Professional)
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM 87104

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 Mimir Everett's NPI number?

The NPI number for Mimir Everett is 1790355477. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Mimir Everett located?

Mimir Everett practices at 901 Rio Grande Blvd NW Ste G252, Albuquerque, NM 87104. The listed phone number is (505) 702-8112.

What is Mimir Everett's specialty?

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

Is Mimir Everett enrolled in Medicare?

Yes. Mimir Everett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mimir Everett accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mimir Everett 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 Mimir Everett was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.