Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073611729 Individual Practitioner Female Practitioner

Mary Rose Nettleton , LICSW

Social Worker • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Mary Nettleton, LICSW is a registered healthcare professional specializing in Social Worker in Fridley, MN. Practice services are available at 7362 UNIVERSITY AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7362 University Ave Ne
Suite 209

Fridley, MN 554323142

Telephone 6128254407
Fax 6128250768
Associated Practice Facility / Clinic
🏢 Dbt Associates Facility NPI 1639104193

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Fridley, MN (1047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MN 10269

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Lois Jonet , LMFT, LP

Marriage & Family Therapist

NPI 1043318728

Licensed Marriage and Family Therapist, Licensed Psychologist

Noriko Balken , LMFT

Marriage & Family Therapist

NPI 1164520698

Licensed Marriage and Family Therapist

NPI 1164520730

Master of Arts, Licensed Psychologist

NPI 1194823773

Master of Arts, Licensed Psychologist

NPI 1215035878

Licensed Independent Clinical Social Worker

NPI 1225138084

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7362 UNIVERSITY AVE NE, SUITE 209, FRIDLEY, MN 554323142 (Tel: 6128254407)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3108 HENNEPIN AVE, MINNEAPOLIS, MN 554082619 (Tel: 6128254407)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY NETTLETON, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #10269 in MN)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073611729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3108 Hennepin Ave

Minneapolis, MN 554082619

Phone: 6128254407

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.