County of Marin Behavioral Health and Recovery Services Drug Medi-Cal Organized Delivery System (DMC-ODS) Provider List
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1 County of Marin Behavioral Health and Recovery Services Drug Medi-Cal Organized Delivery System (DMC-ODS) Provider List As Marin County Medi-Cal beneficiaries, if you think you are or a family member needs substance use services, call the Line at (toll free) or if you are hearing/speech impaired, call the California Relay Service (CRS) at 711 (TTY/TDD). The Team will perform a screening and referral to a DMC-ODS Plan provider, who will perform an assessment to determine medical necessity based on American Society of Addiction Medicine (ASAM) criteria. If necessary, the Line provides authorization for residential treatment. Unless noted below, all providers are accepting new beneficiaries. Note that all of the below Providers can accommodate persons with physical disabilities and serve Marin Medi-Cal beneficiaries, even if the site is not yet Drug/Medi-Cal certified. 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. If you require this document in an alternate format (example: Braille, Large Print, Audiotape, CD- ROM), you may request an alternate format, at no cost to the beneficiary, by calling: the Line at (toll free). Hearing and/or speech impaired members can call the California Relay Service by dialing /2019
2 LANGUAGE ASSISTANCE/ASISTENCIA DE IDIOMAS ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call [711 (TTY/TDD)]. 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 [711 (TTY/TDD)]. Español () ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al [711 (TTY/TDD)]. 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 [711 (TTY/TDD)]. 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 [711 (TTY/TDD)].
3 Tagalog (Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa [711 (TTY/TDD)]. 한국어 (Korean) 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 [711 (TTY/TDD)]. 번으로전화해주십시오. Հայերեն (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք [711 (TTY/TDD)]. (Farsi) فارسی [711 (TTY/TDD)] Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните [ телетайп: 711).
4 日本語 (Japanese) 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます [711 (TTY/TDD)] まで お電話にてご連絡ください. (Arabic) العربية تامدخ نإف ةغلال ركذا ثدحتت تنك اذإ :ةظوحلم مكبالو مصال فتاھ : (TTY/TDD)] [ مقر (مقرب.ناجمالب لصتا كل رفاوتت ةیوغلال ةدعاسمال ਪ ਜ ਬ (Punjabi) ਧ ਆਨ ਧ ਓ: ਜ ਤ ਸ ਪ ਜ ਬ ਬ ਧ ਹ, ਤ ਭ ਸ਼ ਧ ਚ ਸਹ ਇਤ ਸ ਤ ਹ ਡ ਈ ਮ ਫਤ ਉਪ ਧਬ ਹ [711 (TTY/TDD)].'ਤ ਕ ਕਰ ខ ម រ (Cambodian) ប រយ ត ន បរ ស នជ អ នកន យ យ ភ ស ខ ម រ, បសវ ជ ន យខ នកភ ស ប យម នគ ត ឈ ន ល គ អ ចម នស រ រ រ បរ អ នក ច រ ទ រស ព ទ [711 (TTY/TDD)]. Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau [711 (TTY/TDD)].
5 ह द (Hindi) ध य न द : यदद आप द द ब लत त आपक ललए म फ त म भ ष स यत स व ए उपलब ध [711 (TTY/TDD)] पर क ल कर ภาษาไทย (Thai) เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร [711 (TTY/TDD)]. ພາສາລາວ (Lao) ໂປດຊາບ: ຖ າວ າ ທ ານເວ າພາສາ ລາວ, ການບ ລ ການຊ ວຍເຫ ອດ ານພາສາ, ໂດຍບເສ ຽຄ າ, ແມ ນມພ ອມໃຫ ທ ານ. ໂທຣ [711 (TTY/TDD)].
6 Helen Vine Recovery Center (Buckelew Programs) Residential (ASAM 3.1 and 3.5) Withdrawal Management (ASAM 3.2- WM) 291 Smith Ranch Rd. San Rafael, CA Smith Ranch Rd. San Rafael, CA Hours/7 Days Hours/7 Days Bay Area Community Resources (Positive Changes) (Family Connections) (Positive Changes) (Family Connections) Adult Women (18+) Adolescents Adult Women (18+) Adolescents Gender- Specific (Female); Gender- Specific (Female); 103 Shoreline Pkwy Carlos Drive San Rafael, CA Shoreline Pkwy Carlos Drive San Rafael, CA Monday - Thursday 8:30AM-4:00PM Mon/Wed: 2:00PM - 7:00PM Tuesday: 2:00PM - 8:00PM Thurs/Fri: By Appointment Monday - Thursday 8:30AM-4:00PM Mon/Wed: 2:00PM - 7:00PM Tuesday: 2:00PM - 8:00PM Thurs/Fri: By Appointment 2/2019
7 Marin and Recovery Services (Program Renacer) (Program Renacer) 710 C Street, Ste C Street, Ste :00AM-9:00PM Saturday - Sunday By Appointment 9:00AM-9:00PM Saturday - Sunday By Appointment County of Marin (Road to Recovery) Recovery Services Physician Consultation DMC Physicians Co-Occurring SUD/SMI Co-Occurring SUD/SMI Co-Occurring SUD/SMI Co-Occurring SUD/SMI 10 N. San Pedro Rd. San Rafael, CA N. San Pedro Rd. San Rafael, CA N. San Pedro Rd. San Rafael, CA N. San Pedro Rd. San Rafael, CA :30AM-4:00PM 8:30AM-4:00PM 8:30AM-4:00PM 8:30AM-4:00PM 2/2019
8 Center Point, Inc. Side by Side (formerly Sunny Hills Services) Residential (ASAM 3.1 and 3.5) Residential (ASAM 3.1 and 3.5) Partial Hospitalizatio n (Extended Day Treatment) Residential (ASAM 3.1) ReStart Program Adult Women (18+) Adult Men (18+) Adolescents Adolescents Gender- Specific (Female); Gender- Specific (Male) nd Street # nd Street #104 (Protected) San Rafael, CA D Street Sunny Hills Dr. San Anselmo, CA Sunny Hills Dr. San Anselmo, CA :00AM-9:30PM 10:00AM-9:30PM Hours/7 Days Hours/7 Days Tuesday - Friday 4:00pm - 8:30pm Saturday: 10:00am - 2:30pm Hours/7 Days 2/2019
9 Medication Assisted Treatment 1466 Lincoln Ave :00PM-6:30PM Marin Treatment Center Withdrawal Management (ASAM 1- WM) Medication Assisted Treatment Medication Assisted Treatment 1466 Lincoln Ave Lincoln Ave :00PM-5:30PM 7:00AM-1:30PM Opioid (Narcotic) Treatment Program Medication Assisted Treatment 1466 Lincoln Ave Dosing Hours: M-F: 7:00AM- 11:30AM Sat/Sun: 7:45AM- 10:30AM Holidays: 9:30-10:00AM 2/2019
10 Homeless/Atrisk of Homeless 1399 Hamilton Pkwy Novato, CA x203 Friday: 1:30PM - 3:00PM and By Appointment Ritter Center Homeless/Atrisk of Homeless 1399 Hamilton Pkwy Novato, CA x203 Monday/Wed./Friday 6:00PM - 9:15PM and By Appointment Homeless/Atrisk of Homeless 190 Mill Street x203 Monday/Wed./Friday 9:00AM - 12:15PM and By Appointment 2/2019
11 Marin Services for Men (Marin and Recovery Services) Last Name First Name Licensure National Provider Identification number License Number Completed Competence Training Boisclair Earl Certified Substance Use Disorder Counselor C Yes Evans Cher Certified Substance Use Disorder Counselor Yes Fergusion, Jr. Lindsay Licensed Marriage and Familty Therapist LMFT Yes Goss III James Certified Substance Use Disorder Counselor C Yes Ohm Kira Licensed Marriage and Familty Therapist LMFT Yes Perez Felipe Registered Substance Use Disorder Counselor R Yes Stevenson III James Certified Substance Use Disorder Counselor Yes Last Name First Name Licensure County of Marin (Road to Recovery) National Provider Identification number License Number Completed Competence Training Mesa Casey Certified Substance Use Disorder Counselor M Yes Marquardt Byrd LaRee Licensed Marriage and Familty Therapist LMFT Yes Triolo Michael Certified Substance Use Disorder Counselor C Yes Ricci James Certified Substance Use Disorder Counselor LCi Yes Miller Alan Certified Substance Use Disorder Counselor C Yes Lamorte Michael Registered Substance Use Disorder Counselor R Yes DeVido Jeffrey Medical Doctor, Psychiatry A No Scovis Teena Licensed Marriage and Familty Therapist LMFT Yes Madrigal Melina Registered Substance Use Disorder Counselor R Yes
12 Last Name First Name Licensure Center Point, Inc. National Provider Identification number License Number Completed Competence Training Nelson Michael Certified Substance Use Disorder Counselor C Yes Naeve Ronald Certified Substance Use Disorder Counselor Yes Lord Anthony Registered Substance Use Disorder Counselor R Yes Buck Moyer Lindsey Certified Substance Use Disorder Counselor Yes West Reginald Certified Substance Use Disorder Counselor Ci Yes Gaines Harriett Certified Substance Use Disorder Counselor C Yes Taylor Sushma Licensed Marriage and Familty Therapist LMFT Yes Sverchek Gloria Licensed Marriage and Familty Therapist LMFT Yes Taylor Rodney Licensed Marriage and Familty Therapist LMFT Yes Holsten Tonia Certified Substance Use Disorder Counselor C No Bankston Tammy Certified Substance Use Disorder Counselor Ci No Mazzariello Greg Registered Substance Use Disorder Counselor R No Lowers Aaron Certified Substance Use Disorder Counselor A No Fitzgerald Aine Registered Substance Use Disorder Counselor R Yes Hill Jeannie Certified Substance Use Disorder Counselor C Yes Wesson Prudence Registered Substance Use Disorder Counselor R Yes Cheatum Dana Certified Substance Use Disorder Counselor A No McSwain Cheryl Associate Marriage and Family Therapist imft No Browning Tom Certified Substance Use Disorder Counselor C Yes Brown Paulette Certified Substance Use Disorder Counselor B Yes Ssemmuli John Associate Marriage and Family Therapist imft Yes
13 Last Name First Name Licensure National Provider Identification number License Number Completed Competence Training Merritt Havalyn Associate Clinical Social Worker icsw Yes Beggs Dawn Registered Substance Use Disorder Counselor R Yes Bishop Anny Licensed Marriage and Familty Therapist LMFT Yes Catan Hope Associate Marriage and Family Therapist imft Yes Hansia Yaqub Registered Psychologist PSY Yes Kameron Alessandra Associate Substance Use Disorder Counselor Ci Yes Kong Linna Associate Marriage and Family Therapist imft Yes Norman Royal Certified Substance Use Disorder Counselor N Yes Obranovich Cherie Registered Psychologist PSY Yes Panaligan Edelyn Registered Substance Use Disorder Counselor R12222 Yes Wonacott Kathleen Associate Clinical Social Worker icsw Yes Funez Arteaga Michelle Licensed Clinical Social Worker LSCW Yes Eisenberg Elyse Medical Doctor G Yes Sandberg Russell Medical Doctor B26538 Yes Last Name First Name Licensure Marin Treatment Center Sunny Hills Services National Provider Identification number License Number Completed Competence Training Aldana Damaris Registered Substance Use Disorder Counselor Yes DeWolfe Alexander Registered Substance Use Disorder Counselor R Yes Guthrie Bryanne Licensed Clinical Social Worker LCSW Yes Merriam Donald Lee Associate Substance Use Disorder Counselor Ci Yes Moglen Sam Licensed Marriage and Family Therapist LMFT Yes Spalding Alexis Associate Substance Use Disorder Counselor Ci Yes
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