Active NPI
Kendra J Shulman, MSW, LICSW
- Clinical Social Worker
- Oakdale, MN
National Provider Identifier
1558136416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27789
- Practice address
- 7066 Stillwater Blvd N
Oakdale, MN 55128-3937 - Phone
- (612) 364-4900
- NPI assigned
- Nov 21, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27789 | MN | Primary |
Addresses
Primary practice location
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Mailing address
2400 Pillsbury Ave S
Minneapolis, MN 55404-3220
Phone (612) 229-7497
Other practice location 1
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relate Inc | Past | Accepting new patients |
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": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1558136416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 PILLSBURY AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043220",
"telephone_number": "612-229-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7066 STILLWATER BLVD N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551283937",
"telephone_number": "612-364-4900"
}
],
"practiceLocations": [
{
"address_1": "5125 County Road 101 Ste 300",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553454157",
"country_code": "US",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHULMAN",
"first_name": "KENDRA",
"middle_name": "J",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "27789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.