Riley Goodall, MSW, LICSW

NPI 1164123857 · on the registry since 2023

Practice

Address: 600 Market St Ste 220
Chanhassen, MN 55317
Phone: (651) 213-9280
Fax: (651) 433-7122
Organisation at this address: Edward L Requet Dc Pa
Sarah K. Ebeling, Od, Pllc
Forever Smiles Partners Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota