Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Ayala

Individual provider Clinical Social Worker · NPI 1629476973

Ivan Ayala is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2450 Riverside Ave UMMC F196
Minneapolis, MN 55454-1450
Phone: (952) 892-9536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 2837 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 23335 (MN)

Record details

NPI number1629476973
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2014
Last updated in NPPESApril 7, 2017

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