Individual provider · Type 1 NPI

Ryan Goman, LICSW

Clinical Social Worker · New Hope, MN

NPI number 1639606502 Active

Practice location

5555 Boone Ave N
New Hope, MN 55428-3636

Call (651) 774-0011 Map

Fax (651) 774-0606

Mailing address

12149 Tulip St NW
Coon Rapids, MN 55433-6767

Other practice locations

  • 12149 Tulip St NW, Coon Rapids, MN 55433-6767 · (612) 834-4703

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20723 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1639606502

Ryan Goman, LICSW's National Provider Identifier is 1639606502, issued on May 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Hope, MN. The record was last updated on Aug 24, 2023.