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Kailey Marie Everett , LICSW

Social Worker - Clinical β€’ Maplewood, MN

Active NPI 1447830898 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2001 Beam Ave
Maplewood, MN 551091401

Call 9528268475 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2001 Beam Ave

Maplewood, MN 551091401

Telephone 9528268475
Organization at the Same NPPES Address or Phone
Prairiecare Llc Facility NPI 1215182928

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Phoenix Mental Health Plc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kailey Everett has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kailey Everett as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maplewood and Minnesota

41 active clinicians are listed under Social Worker - Clinical with a practice address in Maplewood, MN (6,737 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maplewood

22% of these 41 clinicians have the CMS telehealth indicator.

34.1% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-09-15
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES MN 27801

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20210722001775

Enrollment State Jurisdiction

MN

PECOS Control ID

4385047778

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Phoenix Mental Health Plc

1911 Nicollet Ave, Minneapolis, MN 554033747

Phone: 6125016807

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Dawn Blindauer , DNP, APRN, CNP

Nurse Practitioner - Family

NPI 1225683618

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Certified Nurse Practitioner

Nathan Grumdahl , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1447989074

Certified Nurse Practitioner

Chiara Morfaw , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1922701325

Certified Nurse Practitioner

Dr. Trisha Nelson , MD

Psychiatry & Neurology - Psychiatry

NPI 1235756941

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location September 15, 2021

Registered at 2001 BEAM AVE, MAPLEWOOD, MN 551091401 (Tel: 9528268475)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2021

Social Worker (license number reported to NPPES: MN 27801)

πŸ“
Updated Practice Location April 19, 2021

Registered at 9400 ZANE AVE N, BROOKLYN PARK, MN 554431814 (Tel: 9527374531)

πŸ“
Updated Business Mailing Address April 19, 2021

Registered at 9400 ZANE AVE N, BROOKLYN PARK, MN 554431814 (Tel: 9527374531)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2021

Social Worker

βœ…
NPI Profile Active April 10, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2021

Registered at 2001 BEAM AVE, MAPLEWOOD, MN 551091401 (Tel: 9527374531)

πŸ“
Business Mailing Address (Initial Record) April 10, 2021

Registered at 2001 BEAM AVE, MAPLEWOOD, MN 551091401 (Tel: 9527374531)

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2021

Recorded as KAILEY EVERETT, LICSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2021

Social Worker (license number reported to NPPES: MN 27801)

🟒
Initial NPI Registration & Enumeration April 10, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447830898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2021
Last Update: September 15, 2021
Sole Proprietor: Yes

Other Social Worker - Clinicals in Maplewood

All Social Worker - Clinicals in Maplewood

Mailing Address

9400 Zane Ave N

Brooklyn Park, MN 554431814

Phone: 7637628800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.