Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mary Rose Nettleton, LICSW

Social Worker in Fridley, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073611729

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Registry record

Entity type Individual (Type 1)

Name Mary Rose Nettleton

Credential LICSW

Sex Female

Practice address 7362 University Ave Ne, Suite 209, Fridley, MN, 55432

Phone (612) 825-4407

Fax (612) 825-0768

Enumeration date Sep 20, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

104100000X Social Worker Behavioral Health & Social Service Providers · License 10269 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Mary Nettleton practice?

The practice location on file with NPPES is in Fridley, MN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Mary Nettleton?

The National Provider Identifier (NPI) for Mary Nettleton is 1073611729, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.