Individual provider Active NPI

Maria Wetli

  • Clinical Social Worker
  • Roseville, MN
National Provider Identifier
1659864601
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25531 Issued in MN
Practice address
2151 Hamline Ave N
Roseville, MN 55113-4236
Phone
(651) 583-5565
Fax
(651) 583-5566
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 25531 MN Primary

Addresses

Primary practice location

2151 Hamline Ave N
Roseville, MN 55113-4236

Mailing address

2151 Hamline Ave N Ste 200
Roseville, MN 55113-5571
Phone (651) 583-5565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 9, 2020 through Nov 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arden Shores Counseling Mental Health CurrentSince Aug 2, 2020 Accepting new patients

Locations

2151 Hamline Ave N
Ste 200
Roseville, MN 55113
Phone (651) 583-5565

3550 Lexington Ave N
Ste 100
Shoreview, MN 55126
Phone (651) 583-5565

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1659864601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HAMLINE AVE N STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135571",
            "telephone_number": "651-583-5565",
            "fax_number": "651-583-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134236",
            "telephone_number": "651-583-5565",
            "fax_number": "651-583-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETLI",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.