Active NPI
Kennedy Willemarck
- Social Worker
- Minnetonka, MN
National Provider Identifier
1467316877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 32169
- Practice address
- 5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157 - Phone
- (952) 932-7277
- Fax
- (952) 932-9827
- NPI assigned
- Dec 10, 2025
- Last updated
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 32169 | MN | Primary |
Addresses
Primary practice location
5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Mailing address
5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Phone (952) 932-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32169 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relate Inc | Current | Accepting new patients |
Locations
5125 County Road 101
Ste 300
Minnetonka, MN 55345
Phone (952) 230-3958
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1467316877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 COUNTY ROAD 101 STE 300",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454157",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 COUNTY ROAD 101 STE 300",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454157",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEMARCK",
"first_name": "KENNEDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "32169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
- Wildflower Wellness Counseling
- Meredith Wray Wilkerson, FNP
- Kyle James Wilkes, DDS
- Angelia Denise Wilks
- Barbara A Wilkus, PSYD LP
- William W Wagnild DDS PA (Cedar Hills Dental Center)
- Gilonda Williams-Butler, LMFT
- Dustin Williams, ACNP
- Jennifer Argraves Williams, D.C.
- Melissa Ann Johnson Williams, MSW, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.