Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kailey Marie Everett, LICSW

Individual provider Clinical Social Worker · NPI 1447830898

Kailey Marie Everett, LICSW is a Clinical Social Worker in Maplewood, Minnesota. Qualified in 2018, 8 years ago. Practices with Phoenix Mental Health PLC, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2001 Beam Ave
Maplewood, MN 55109-1401
Phone: (952) 826-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27801 (MN)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1447830898
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 10, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address9400 Zane Ave N, Brooklyn Park, MN 55443-1814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Phoenix Mental Health Plc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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