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ATTENTION: Auxiliary aids and services, including but not ... Provider Directory... · ATTENTION: Auxiliary aids and services, including but not limited to large print documents and

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Page 1: ATTENTION: Auxiliary aids and services, including but not ... Provider Directory... · ATTENTION: Auxiliary aids and services, including but not limited to large print documents and
Page 2: ATTENTION: Auxiliary aids and services, including but not ... Provider Directory... · ATTENTION: Auxiliary aids and services, including but not limited to large print documents and

ATTENTION: Auxiliary aids and services, including but not limited to large print documents and alternative formats, are available to you free of charge upon request. Call the SUTS Beneficiary Line at 408.792.5666. If you have trouble speaking or hearing, please call (TTY: 1.800.855.7100 or 711).

To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

Gateway Call Center is available: Monday - Friday 8:00 a.m. - 5:00 p.m.

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

2 January 09, 2019

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LANGUAGE ASSISTANCE

EnglishATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call the Substance Use Treatment Services (SUTS) Beneficiary Line at 408.792.5666. If you have trouble speaking or hearing, please call (TTY: 1.800.855.7100 or 711).

Español(Spanish)ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.408.792.5666 (TTY: 1.800.855.7100 or 711)

Tiếng Việt (Vietnamese)CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1.408.792.5666 (TTY: 1.800.855.7100 or 711).

Tagalog (Tagalog ̶ Filipino)PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1.408.792.5666 (TTY: 1.800.855.7100 or 711).

繁體中文(Chinese)注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1.408.792.5666 (TTY: 1.800.855.7100 or 711).

(Farsi) فارسیتوجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیالت زبانی بصورت رایگان برای شما

د. .فراھم می باشد. 1.408.792.5666 (TTY: 1.800.855.7100 or 711) تماس بگیری

* Services may be delivered by an individual provider, or a team of providers, who is working underthe direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered,or registered mental health providers and licensed substance use disorder services providers are listedon the Plan’s provider directory.** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

3 January 09, 2019

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ADAMS, CATHERINE , LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 51850, 07/31/2019 NPI: 1366673691

Language: English Cultural Training:

Special Training Cultural Capabilities:

Pathway Society, Inc., Services Provided:Outpatient, Age Group: 18+

Pathway OP Santa Clara - 1659 Scott Blvd., 1659 Scott Blvd Ste 9, 220, 270 , Santa Clara, 95050-4137

Map & Directions

Phone: 1 (800) 488-9919

Website: http://pathwaysociety.org/

BARATI, SAGAR , ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: 125666, 07/31/2019 NPI: 1245616580

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Alexian Health Center, 2101 Alexian Drive Suite 110 , San Jose, 95116-1901

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

4 January 09, 2019

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BOHLENDER, JERYLYN ANDREWS, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: ASW68362, 09/30/2019 NPI: 1750782488

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, Age Group: 18+

Alexian Health Clinic, 2101 Alexian Drive Suite A & B , San Jose, 95116-1901

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

BOKEN, ANNETTE LOUISE, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 103982, 09/30/2019 NPI: 1407221526

Language: English Spanish Cultural Training:

Special Training Addiction Cultural Capabilities:

Parisi House on the Hill, Inc., Services Provided:Residential, Age Group: 18+

House on the Hill, (Pregnant Women, Women with Children) , 9505 Malech Road , San Jose, 95138-5246

Map & Directions

Phone: 1 (800) 488-9919

Website: http://parisihouse.com/

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

5 January 09, 2019

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BOURDON, CHEVELLE MARIE, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: ASW76998, 05/31/2019 NPI: 1447507728

Language: English Cultural Training:

Special Training Cultural Capabilities:

Pathway Society, Inc., Services Provided:Residential, Age Group: 18+

Pathway Mariposa, 9500 Malech Road , San Jose, 95138-2002

Map & Directions

Phone: 1 (800) 488-9919

Website: http://pathwaysociety.org/

CHOKSY, IREM , LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT9Z44S, 12/31/2019 NPI: 1528328374

Language: English Kutchi Hindi Gujarati Cultural Training:

Special Training Cultural Capabilities:

Horizon Services, Inc., Services Provided:Residential, Age Group: 18+

Horizon South, 650 S. Bascom Avenue , San Jose, 95128-2601

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.horizonservices.org/horizon-south

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

6 January 09, 2019

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DALY, PAUL MATTHEW, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 48320, 12/31/2019 NPI: 1205155363

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 18+

Central Treatment and Recovery, 976 Lenzen Avenue First Floor Suite 1900 , San Jose, 95126

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

7 January 09, 2019

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DEL REAL, CHRISTINE ANGELICA, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT9Z78Z, 01/31/2020 NPI: 1861830580

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities: TAY

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Alexian Health Center, 2101 Alexian Drive Suite 110 , San Jose, 95116-1901

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Gilroy High School , 750 West 10th St. , Gilroy, 95020-6333

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Mt Madonna HS , 8750 Hirasaki Ct , Gilroy, 95020-7531 Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

8 January 09, 2019

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GISSIBLE, LOREN , LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: 25939, 03/31/2019 NPI: 1750459137

Language: English Cultural Training:

Special Training Cultural Capabilities:

HealthRIGHT 360, Services Provided:Outpatient, Age Group: 12-20

AARS The Place, 1340 Tully Road 301, San Jose, 95122-3055

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.healthright360.org/agency/asian-american-recovery-services

GRINNA, ERICKA ANN, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT41175, 03/31/2020 NPI: 1346377462

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

9 January 09, 2019

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GUTIERREZ, ISAAC ABRAHAM, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: 86962, 11/30/2019 NPI: 1255600805

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Lincoln HS , 555 Dana Ave , San Jose, 95126-2202 Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Sunnyvale Health Center, 660 S Fair Oaks Ave Rms 3068, 3087, 3081 , Sunnyvale, 94086-7913

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

HERMLE, FELICIA LEE-LANCASTER, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: ASW78246, 07/31/2019 NPI: 1437584646

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, Age Group: 18+

Alexian Health Clinic, 2101 Alexian Drive Suite A & B , San Jose, 95116-1901

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

10 January 09, 2019

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HILL, SUSAN JANE, AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: LCI04620216, 10/29/2020 NPI: 1558776658

Language: English Cultural Training:

Special Training Cultural Capabilities:

Horizon Services, Inc., Services Provided:Residential, Age Group: 18+

Horizon South, 650 S. Bascom Avenue , San Jose, 95128-2601

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.horizonservices.org/horizon-south

HISHIYA, YUKIKO , LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT53262, 12/31/2020 NPI: 1720152556

Language: English Cultural Training:

Special Training Cultural Capabilities:

HealthRIGHT 360, Services Provided:Outpatient, Age Group: 12-20

AARS The Place, 1340 Tully Road 301, San Jose, 95122-3055

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.healthright360.org/agency/asian-american-recovery-services

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

11 January 09, 2019

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IGUCHI, JENNIFER LEAH, AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: AMFT94Z98, 07/31/2019 NPI: 1275981912

Language: English Cultural Training:

Special Training Cultural Capabilities:

Caminar Family and Children Services, Services Provided:Outpatient, IOS, Age Group: 18+Caminar Family and Children Services, 2218 N. First St. , San Jose, 95131-2007

Map & Directions

Phone: 1 (800) 488-9919

Website: http://www.fcservices.org/substance-abuse-services/

KEBEDE, SEHENE , AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: IMF78688, 01/31/2019 NPI: 1770828337

Language: English Italian Amharic Cultural Training:

Special Training Cultural Capabilities:

Horizon Services, Inc., Services Provided:Residential, Age Group: 18+

Horizon South, 650 S. Bascom Avenue , San Jose, 95128-2601

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.horizonservices.org/horizon-south

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

12 January 09, 2019

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KENNEDY, THERESA ANN REDONDO, LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: LCSW60436, 11/19/2019 NPI: 1073718334

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

KIM, YOUNGSHIN TERESA, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: MFT41757, 01/31/2021 NPI: 1346618022

Language: English Korean Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Apollo High School, 1835 Cunningham Ave , San Jose, 95122-1712

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

13 January 09, 2019

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KING, URSULA MARIA, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT81041, 07/31/2020 NPI: 1003240904

Language: English Cultural Training:

Special Training Cultural Capabilities:

Caminar Family and Children Services, Services Provided:Outpatient, IOS, Age Group: 18+Caminar Family and Children Services, 2218 N. First St. , San Jose, 95131-2007

Map & Directions

Phone: 1 (800) 488-9919

Website: http://www.fcservices.org/substance-abuse-services/

KU, YUN-CHIEN , AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: AMFT96314, 10/31/2019 NPI: 1104373430

Language: English Mandarin Cultural Training:

Special Training Cultural Capabilities:

Caminar Family and Children Services, Services Provided:Outpatient, IOS, Age Group: 18+Caminar Family and Children Services, 2218 N. First St. , San Jose, 95131-2007

Map & Directions

Phone: 1 (800) 488-9919

Website: http://www.fcservices.org/substance-abuse-services/

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

14 January 09, 2019

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LANIP, MARY RAMOS, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 46280, 03/31/2020 NPI: 1558496679

Language: English Tagalog Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

LASSETTRE, JILL MICHELLE, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 52909, 09/30/2020 NPI: 1942411046

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

15 January 09, 2019

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LIPSCHULTZ, MARLA DAWN, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT4ZG7Z, 10/31/2019 NPI: 1740326453

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

LOZANO, GUSTAVO , ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: ASW76266, 04/30/2019 NPI: 1033462064

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Alexian Health Center, 2101 Alexian Drive Suite 110 , San Jose, 95116-1901

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Sunol Peak/Edge, 258 Sunol Street , San Jose, 95126-4804

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

16 January 09, 2019

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MA, ROBERTO , AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: 90624, 12/31/2019 NPI: 1740689918

Language: English Cantonese Other_Chinese Spanish Cultural Training:

Special Training Cultural Capabilities:

Advent Group Ministries, Inc., Services Provided:Outpatient, Age Group: 12-20

Advent Fremont Union HS District, 589 W. Fremont Avenue , Sunnyvale, 94087-2535

Map & Directions

Phone: 1 (408) 272-6518

Website: https://adventgm.org/

MADRIGAL, GUSTAVO , ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: ASW66184, 04/30/2019 NPI: 1326386616

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 18+

Behavioral Health Team, 151 W Mission St Wing A, Ste A1 , San Jose, 95110-1713

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/reentry/resourcecenter/Pages/Resource-Center.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

17 January 09, 2019

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MAMROT, ALINA NIA, LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: 77153, 08/31/2020 NPI: 1801173992

Language: English Polish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

MARTINEZ, IDANIA ELIZABETH, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: 59600, 10/31/2019 NPI: 1528499613

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

Parisi House on the Hill, Inc., Services Provided:Residential, Age Group: 18+

House on the Hill, (Pregnant Women, Women with Children) , 9505 Malech Road , San Jose, 95138-5246

Map & Directions

Phone: 1 (800) 488-9919

Website: http://parisihouse.com/

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

18 January 09, 2019

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MCCORMACK, MARTA PINEDA, LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: 65969, 10/31/2020 NPI: 1073935102

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

MORALES-ROSSI, BARBARA LYNN, AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: 105499, 03/31/2019 NPI: 1205112554

Language: English Cultural Training:

Special Training Cultural Capabilities:

Caminar Family and Children Services, Services Provided:Outpatient, IOS, Age Group: 18+Caminar Family and Children Services, 2218 N. First St. , San Jose, 95131-2007

Map & Directions

Phone: 1 (800) 488-9919

Website: http://www.fcservices.org/substance-abuse-services/

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

19 January 09, 2019

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NEWLIN, DENNIS JAMES, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT3ZO34, 07/31/2020 NPI: 1093833485

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 18+

Central Treatment and Recovery, 976 Lenzen Avenue First Floor Suite 1900 , San Jose, 95126

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

PUTZIG, MARIAN ELIZABETH, AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: AMFT91612, 02/28/2019 NPI: 1457751885

Language: English Cultural Training:

Special Training Addiction Cultural Capabilities: Veterans

Caminar Family and Children Services, Services Provided:Outpatient, Age Group: 18+

Caminar Family and Children Services, 950 W Julian Street , San Jose, 95126-2719

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.caminar.org/resources/2017/1/14/family-children-services-of-silicon-valley

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

20 January 09, 2019

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RAMI, FALU , LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: MFC3GO25, 03/31/2020 NPI: 1023147360

Language: English Cultural Training:

Special TrainingEye Movement Desensitization and Reprocessing (EMDR)

Cultural Capabilities: Asian Population

County of Santa Clara, Services Provided:Outpatient, Age Group: 18+

Central Treatment and Recovery, 976 Lenzen Avenue First Floor Suite 1900 , San Jose, 95126

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

REYES, LOREN GABRIELA, AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: IMF8176O, 08/31/2019 NPI: 1508299215

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

21 January 09, 2019

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RICE, AMY D, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT100794, 02/28/2019 NPI: 1679985253

Language: English Cultural Training:

Special Training Cultural Capabilities:

The Gardner Family Care Corporation, Services Provided:Outpatient, Age Group: 18+

Proyecto Primavera, 614 Tully Road , San Jose, 95111-1048

Map & Directions

Phone: 1 (800) 488-9919

Website: https://gardnerfamilyhealth.org/

RIOS, DAVID EDUARDO, LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: LCSW18811, 04/30/2020 NPI: 1417087370

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:OTP/NTP, MAT, Age Group: 18+

South County Clinic, 90 Highland Ave , San Martin, 95046-9504

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

22 January 09, 2019

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RITTER, SONJA , LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: 87296, 12/31/2020 NPI: 1427565038

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

South County Clinic, 90 Highland Ave , San Martin, 95046-9504

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

RITTER, SONJA YVONNE, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: 68927, 10/31/2019 NPI: 1427565035

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

23 January 09, 2019

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ROBINSON, JENNIFER LAUREN, LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: LCSW87083, 12/31/2020 NPI: 1124563630

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, Age Group: 18+

Alexian Health Clinic, 2101 Alexian Drive Suite A & B , San Jose, 95116-1901

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

SANCHEZ, STEPHANIE MONIQUE, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT 96806, 03/31/2020 NPI: 1679887228

Language: English Spanish Cultural Training:

Special Training Cultural Capabilities:

Pathway Society, Inc., Services Provided:Residential, Age Group: 18+

Pathway Residential, 102 South 11th Street , San Jose, 95112-2132

Map & Directions

Phone: 1 (800) 488-9919

Website: http://pathwaysociety.org/

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

24 January 09, 2019

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SHACKEL, ROY MICHAEL, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: ASW74165, 10/31/2019 NPI: 1649778754

Language: English Cultural Training:

Special Training Cultural Capabilities: TAY

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Alexian Health Center, 2101 Alexian Drive Suite 110 , San Jose, 95116-1901

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Christopher High School, 850 Day Road , Gilroy, 95020-6333

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

25 January 09, 2019

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SILENCIEUX, DHRU E, AMFT

Accepting New Beneficiaries

Associate Marriage and Family Therapist License#, Expiration Date: 100894, 07/31/2019 NPI: 1508121799

Language: English Cultural Training:

Special Training Cultural Capabilities:

Advent Group Ministries, Inc., Services Provided:Outpatient, IOS, Age Group: 12-20

Advent/90 Great Oaks, 90 Great Oaks Blvd. Suite 108 , San Jose, 95119-1314

Map & Directions

Phone: 1 (408) 272-6518

Website: https://adventgm.org/#

Advent/Crest Site, 17666 Crest Avenue , Morgan Hill, 95037-4245

Map & Directions

Phone: 1 (408) 272-6518

Website: https://adventgm.org/#

STONE, SAMARA RACHEL, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT51367, 05/31/2019 NPI: 1821246505

Language: English Cultural Training:

Special Training Cultural Capabilities:

HealthRIGHT 360, Services Provided:Outpatient, Age Group: 18+

AARS Adult, 1340 Tully Road 304, San Jose, 95122-3055 Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.healthright360.org/agency/asian-american-recovery-services

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

26 January 09, 2019

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STURM, KAREN ROSE, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 49605, 01/31/2020 NPI: 1497075360

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, Age Group: 18+

Behavioral Health Team, 151 W Mission St Wing A, Ste A1 , San Jose, 95110-1713

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/reentry/resourcecenter/Pages/Resource-Center.aspx

THOMAS, HAROLD EDWARD, ASW

Accepting New Beneficiaries

Associate Clinical Social Worker

License#, Expiration Date: ASW82802, 05/31/2019 NPI: 1033525126

Language: English Cultural Training:

Special Training Cultural Capabilities: LGBTQ

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Alexian Health Center, 2101 Alexian Drive Suite 110 , San Jose, 95116-1901

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

27 January 09, 2019

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TSOU, YAO-SZU , LPCC

Accepting New Beneficiaries

Licensed Professional Clinical Counselor

License#, Expiration Date: LMFT86019, 02/28/2021 NPI: 1942532601

Language: English Mandarin Cultural Training:

Special Training LPCC1699 Cultural Capabilities:

HealthRIGHT 360, Services Provided:Outpatient, Age Group: 18+

AARS Adult, 1340 Tully Road 304, San Jose, 95122-3055 Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.healthright360.org/agency/asian-american-recovery-services

VENTURA, STEPHANIE MARIE, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 105334, 12/31/2019 NPI: 1558807032

Language: English Cultural Training:

Special Training Cultural Capabilities:

Advent Group Ministries, Inc., Services Provided:Outpatient, IOS, Age Group: 12-20

Advent/90 Great Oaks, 90 Great Oaks Blvd. Suite 108 , San Jose, 95119-1314

Map & Directions

Phone: 1 (408) 272-6518

Website: https://adventgm.org/#

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

28 January 09, 2019

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VILMS, DINAZ MAIA, LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: 101178, 11/30/2019 NPI: 1144658774

Language: English Spanish Cultural Training:

Special Training Alcohol and Other Drug(AOD) Cultural Capabilities: TAY

County of Santa Clara, Services Provided:Outpatient, Age Group: 12-20

Broadway High School , 4825 Speak Lane , San Jose, 95118-3769

Map & Directions

Phone: 1 (408) 272-6518

Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

VULFOVICH, NADIA TISHUTINA, LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: LMFT100394, 08/31/2020 NPI: 1629383625

Language: English Russian Cultural Training:

Special Training Cultural Capabilities:

Caminar Family and Children Services, Services Provided:Outpatient, IOS, Age Group: 18+Caminar Family and Children Services, 2218 N. First St. , San Jose, 95131-2007

Map & Directions

Phone: 1 (800) 488-9919

Website: http://www.fcservices.org/substance-abuse-services/

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

29 January 09, 2019

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WILLIAM-WHITE, LORRAINE YVETTE, LCSW

Accepting New Beneficiaries

Licensed Clinical Social Worker

License#, Expiration Date: LCSW 27977, 04/30/2019 NPI: 1033220462

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, PSAP, Age Group: 18+Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

30 January 09, 2019

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WINDETT, LARA , LMFT

Accepting New Beneficiaries

Licensed Marriage and Family Therapist

License#, Expiration Date: 43984, 05/31/2020 NPI: 1881720993

Language: English Cultural Training:

Special Training Cultural Capabilities:

County of Santa Clara, Services Provided:Outpatient, OTP/NTP, MAT, Age Group: 18+

Alexian Health Clinic, 2101 Alexian Drive Suite A & B , San Jose, 95116-1901

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

South County Clinic, 90 Highland Ave , San Martin, 95046-9504

Map & Directions

Phone: 1 (800) 488-9919

Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

* Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

31 January 09, 2019