Individual provider Active NPI

Vanessa Ayala

  • Social Worker
  • Riverview, FL
National Provider Identifier
1174484232
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW92774 Issued in FL
Practice address
11912 Balm Riverview Rd
Riverview, FL 33569-6601
Phone
(813) 444-7116
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW92774 FL Primary

Addresses

Primary practice location

11912 Balm Riverview Rd
Riverview, FL 33569-6601

Mailing address

708 Lithia Pinecrest Rd Ste 102
Brandon, FL 33511-6189
Phone (813) 444-7116

Other practice location 1

2911 Park Pond Way
Kissimmee, FL 34741-7661
Phone (407) 495-1047

Other practice location 2

1074 S Florida Ave Ste 103
Lakeland, FL 33803-1102
Phone (863) 904-1541

Other practice location 3

29160 Chapel Park Dr
Wesley Chapel, FL 33543-4404
Phone (813) 825-0058

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

LicenseStateTypeSpecialty
SW92774FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Integrative Counseling Mental Health CurrentSince Nov 24, 2025 Accepting new patients

Locations

2911 Park Pond Way
Kissimmee, FL 34741
Phone (813) 444-7116

1074 S Florida Ave
Ste 103
Lakeland, FL 33803
Phone (813) 444-7116

11912 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 444-7116

29160 Chapel Park Dr
Wesley Chapel, FL 33543
Phone (813) 444-7116

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": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1174484232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 LITHIA PINECREST RD STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116189",
            "telephone_number": "813-444-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696601",
            "telephone_number": "813-444-7116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Park Pond Way",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417661",
            "country_code": "US",
            "telephone_number": "407-495-1047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1074 S Florida Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338031102",
            "country_code": "US",
            "telephone_number": "863-904-1541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29160 Chapel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335434404",
            "country_code": "US",
            "telephone_number": "813-825-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW92774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.