Welcome to Pivotal Clarity

What is Pivotal Clarity?

Pivotal Clarity is all about mental wellness care with a whole-person approach.  Just as our perspectives are shaped by own personal (positive or negative) experiences, culture and beliefs; our ability to heal and grow hinge upon our view  and beliefs of what we see.  What we cannot see we do not truly know.  Therefore, Pivotal Clarity provides a safe place where you can explore your thoughts and emotions to manifest a pivot in your perspective developing the clarity you seek and the opportunity for healing so you can experience growth.    


  • Counseling and Mental Health services for adolescents, individuals and couples.
  • Whole-person approach to mental health care
  • Grief & Loss, Trauma services
  • Convenient appointments 
  • Skype sessions available


Nancy D. Ross Rivera, LCSW is the founder of Pivotal Clarity.  She is a dedicated and compassionated mental health professional with over 20 years of experience who will support and encourage you along your journey towards healing and a more balanced and healthy mind, body and soul. 

Let's Connect

"A journey of a thousand miles begins with a single step." ~ Lao Tzu

Pivotal Clarity

2804 Del Prado Blvd S, Suite 109, Cape Coral, Florida 33904, United States

(718) 541-2374


Monday 3pm - 7pm

Thursday 3pm - 7pm

Friday: 8am - 1pm

Saturday: By appointment

Sunday: Closed