Carmen Shannon Larson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017959 Issued in VA

Practice address

5900 Balcones Dr # 16280
Austin, TX 78731-4257

Phone

(888) 458-5199

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carmen Albrecht Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pivots Potential LLC

  • Clinical Social Worker
  • Hagerstown, MD
  • NPI 1659097525

  VA

  Medicare reassignment NPD
• Pivots Potential LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1073351862
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1336967116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 111TH AVE SE",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584749768",
            "telephone_number": "701-412-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 16280",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "888-458-5199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Westerre Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331339",
            "country_code": "US",
            "telephone_number": "888-458-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CARMEN",
        "middle_name": "SHANNON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109223",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "ALBRECHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Marie Larsen, PT
• Larson Counseling Services PLLC
• Arielle Frank Larson, LCSW
• Bert Douglas Larson, CRNA
• Briana Michelle Larson, O.D.
• Catherine Larson, MD
• Christopher Lee Larson, DO
• Deborah Jayne Larson, M.S., CCC-SLP
• Johanna E Larson, LAC
• Kera Rose Larson, PSYD

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.