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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIMIR JOTTUN EVERETT, MS, LCSW

Active Sole Proprietor

MIMIR JOTTUN EVERETT, MS, LCSW is a Clinical Social Worker healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1790355477 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ALBUQUERQUE, NM

Registration Details

NPI Number
1790355477
Provider Type
Individual
Gender
Unknown
NPI Issued
Jun 25, 2021 (5.1172081353199 yrs)
Last Updated
Feb 26, 2025
Licenses
26642 (ND)
C-11784 (NM)
Sole Proprietor
Yes

Practice Information

Address
901 RIO GRANDE BLVD NW STE G252
ALBUQUERQUE, NM, 871042050
Browse NM providers · Browse ZIP 87104
Phone
5057028112
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ALBUQUERQUE, NM

Name Credential NPI
MS. GOLDIE LOWRY LISW 1366449308
REYNALDO J. LOBATO LCSW 1457343386
FRANCE BORDELEAU L.C.S.W. 1003809013
MS. DANA G DARROW LCSW 1861485237
DIANE R MEAD MSW, LISW 1366430373
MS. ANN MCKISSICK GARDENER LISW 1396734836
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.