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

Mimir Jottun Everett, MS, LCSW

Individual provider Clinical Social Worker · NPI 1790355477

Mimir Jottun Everett, MS, LCSW is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices with Trail Ahead Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in North Dakota and New Mexico.

Years since qualifying
10
Licensed in
ND, NM
In the registry since
2021
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2050
Phone: (505) 702-8112
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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 C-11784 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence 26642 (ND)

Record details

NPI number1790355477
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials MS , LCSW
Sole proprietorYes
NPI enumeratedJune 25, 2021
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Trail Ahead Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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