Pivots Potential LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PIVOTS POTENTIAL LLC

Practice address

1209 Mountain Road PL NE # 4433
Albuquerque, NM 87110-7845

Phone

(240) 457-9505

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Vida Lynne Penn Leon, LCSW

Title

Executive Officer

Phone

(240) 457-9505

Specialties & licenses 1

Addresses

Other names 1

• PIVOTS POTENTIAL LLC - NM Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen Shannon Larson, LMSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1336967116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1073351862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 WOODLAND HEIGHTS DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422380",
            "telephone_number": "240-457-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MOUNTAIN ROAD PL NE # 4433",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107845",
            "telephone_number": "240-457-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Balcones Dr # 16280",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314257",
            "country_code": "US",
            "telephone_number": "888-458-5199",
            "fax_number": "240-337-8598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOTS POTENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "PENN LEON",
        "authorized_official_first_name": "VIDA LYNNE",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-457-9505",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIVOTS POTENTIAL LLC - NM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PIVOTS POTENTIAL LLC - NM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon Pitvorec, ATC, LAT, CEAS II
• Karen R Pitzen, LCSW
• Neil Douglas Pivar, MD
• Pivot ABA LLC
• Pivot LLC (Pivot Recovery Resources LLC)
• Renata Z Piwowarek, RN
• Beth Pixley, LPCC
• Israel Pizana
• Charles Pizanis
• Jasmin Hare Pizer

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.