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MARY ROSE NETTLETON LICSW
NPI 1073611729
Social Worker in Fridley, MN

Active since September 20, 2006
7362 UNIVERSITY AVE NE, SUITE 209, FRIDLEY, MN 55432(612) 825-4407(612) 825-0768 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Rose Nettleton Licsw NPPES

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

MARY ROSE NETTLETON LICSW (NPI 1073611729) is an individual social worker in Fridley, Minnesota, licensed in Minnesota (10269) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1073611729
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARY ROSE NETTLETONCredential: LICSW
Location Address7362 UNIVERSITY AVE NE, SUITE 209Fridley, MN 55432-3142
Mailing Address3108 Hennepin AveMinneapolis, MN 55408-2619 · (612) 825-4407 · Fax (612) 825-0768
Phone(612) 825-4407
Fax(612) 825-0768
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073611729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 10269
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
7362 UNIVERSITY AVE NE, Fridley, MN 55432
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Other Providers at the Same Location NPPES 18

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

EMILY GAIL ERICKSON LMFT
Marriage & Family Therapist
7362 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (952) 546-4044
RIGHT MIND COUNSELING SERVICES, PLLC
Social Worker (Clinical)
7362 UNIVERSITY AVE NE, SUITE 101
FRIDLEY, MN 55432
Anoka County (507) 254-7967
JAMES MULLER POWELL L.I.C.S.W.
Social Worker (Clinical)
7362 UNIVERSITY AVE NE, SUITE 101
FRIDLEY, MN 55432
Anoka County (763) 503-3981
THOMAS EDWARD HARBAUGH PHD, LP
Psychologist
7362 UNIVERSITY AVE NE, SUITE 209
FRIDLEY, MN 55432
Anoka County (612) 825-4407
MRS. JUDY JOANN JOHNSON OPTICAN
Technician/Technologist (Optician)
7362 UNIVERSITY AVE NE, 206
FRIDLEY, MN 55432
Anoka County (763) 571-5450
PAUL CARLETON RYALS LICSW
Social Worker (Clinical)
7362 UNIVERSITY AVE NE, SUITE 101
FRIDLEY, MN 55432
Anoka County (763) 503-3981
METRO VEIN CLINIC, PA
Internal Medicine
7362 UNIVERSITY AVE NE, STE 201
FRIDLEY, MN 55432
Anoka County (612) 789-8346
KAMRAN AFZAL M.D.
Internal Medicine
7362 UNIVERSITY AVE NE, SUITE 201
FRIDLEY, MN 55432
Anoka County (612) 789-8346

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 Mary Nettleton's NPI number?

The NPI number for Mary Nettleton is 1073611729. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Mary Nettleton located?

Mary Nettleton practices at 7362 University Ave NE Suite 209, Fridley, MN 55432. The listed phone number is (612) 825-4407.

What is Mary Nettleton's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mary Nettleton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.