attention: auxiliary aids and services, including but not ... provider directory... · attention:...
TRANSCRIPT
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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