IndividualActive
Mary Nettleton, LICSW
NPI 1073611729 · Social Worker · Fridley, MN
Mary Nettleton, LICSW is a Social Worker provider in Fridley, MN (NPI 1073611729).
Provider details
- NPI number
- 1073611729
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 10269 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7362 University Ave Ne
Suite 209
Fridley, MN 55432-3142
Phone: (612) 825-4407
Fax: (612) 825-0768
Street-level locationGet directions
Mailing address
3108 Hennepin Ave
Minneapolis, MN 55408-2619
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mary Nettleton's NPI number?
- Mary Nettleton's National Provider Identifier (NPI) is 1073611729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Nettleton's specialty?
- Mary Nettleton is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Nettleton located?
- Mary Nettleton's practice location on file with NPPES is 7362 University Ave Ne, Fridley, MN 55432-3142.
- What is Mary Nettleton's phone number?
- The practice phone number listed in the NPPES registry for Mary Nettleton is (612) 825-4407.
- Is Mary Nettleton's NPI active?
- Yes — Mary Nettleton's NPI (1073611729) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.