MARY ROSE NETTLETON (LICSW) – Social Worker, NPI 1073611729

MARY ROSE NETTLETON (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 10269 (MN). The NPI Number for MARY ROSE NETTLETON (LICSW) is 1073611729

Main info

Female
Name
MARY ROSE NETTLETON (LICSW)
NPI
1073611729
Phone
(612) 825-4407
Address
3108 HENNEPIN AVE
Enumeration Date
20 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARY ROSE NETTLETON (LICSW)

  • Hennepin Avenue, Minneapolis, Hennepin County, Minnesota, 55403, United States

    MINNEAPOLIS, MN 554082619

    Phone: (612) 825-4407

    Fax: (612) 825-0768

    Type: Mailing

  • 7362, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    SUITE 209

    FRIDLEY, MN 554323142

    Phone: (612) 825-4407

    Fax: (612) 825-0768

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55408)

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Reviews

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Frequently asked questions

Is MARY ROSE NETTLETON (LICSW) listed with a National Provider Identifier?
Yes — MARY ROSE NETTLETON (LICSW) has NPI 1073611729 on file in the registry.
Would MARY ROSE NETTLETON (LICSW) appear as active to a payer?
You can treat MARY ROSE NETTLETON (LICSW) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MARY ROSE NETTLETON (LICSW)'s focus?
For MARY ROSE NETTLETON (LICSW), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Is MARY ROSE NETTLETON (LICSW) associated with Minneapolis?
Public fields place MARY ROSE NETTLETON (LICSW) around Minneapolis, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for MARY ROSE NETTLETON (LICSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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