County of Marin Behavioral Health and Recovery Services Drug Medi-Cal Organized Delivery System (DMC-ODS) Provider List

Transcription

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. To find out if a Provider is accepting new beneficiaries, please contact the Line at (toll free) or if you are hearing/speech impaired, please call the CRS at 711 (TTY/TDD). 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 711.

2 Provider Service Type Populations 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 or Hours/7 Days Hours/7 Days Provider Service Type Populations 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 Shoreline Pkwy Carlos Drive Monday - Thursday Mon/Wed: 2:00PM - 7:00PM Tuesday: 2:00PM - 8:00PM Thurs/Fri: By Appointment Monday - Thursday Mon/Wed: 2:00PM - 7:00PM Tuesday: 2:00PM - 8:00PM Thurs/Fri: By Appointment or

3 Provider Service Type Populations 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 or Provider Service Type Populations 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 N. San Pedro Rd N. San Pedro Rd N. San Pedro Rd or

4 Provider Service Type Populations 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 ) 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 or Hours/7 Days Hours/7 Days Tuesday - Friday 4:00pm - 8:30pm Saturday: 10:00am - 2:30pm Hours/7 Days

5 Provider Service Type Populations or Medication Assisted 1466 Lincoln Ave :00PM-6:30PM Marin Center Withdrawal Management (ASAM 1- WM) Medication Assisted Medication Assisted 1466 Lincoln Ave Lincoln Ave :00PM-5:30PM 7:00AM-1:30PM Opioid (Narcotic) Program Medication Assisted 1466 Lincoln Ave Dosing Hours: M-F: 7:00AM- 11:30AM Sat/Sun: 7:45AM- 10:30AM Holidays: 9:30-10:00AM

6 Provider Service Type Populations Homeless/Atrisk of Homeless 1399 Hamilton Pkwy Novato, CA x203 Friday: 1:30PM - 3:00PM and By Appointment or 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

7 Last Name First Name Licensure Completed Finley Brian Certified Substance Use Disorder Counselor LCI Yes Peters Eric Certified Substance Use Disorder Counselor Yes Hay Eugene Certified Substance Use Disorder Counselor Aii Yes Kerler Jenna Certified Substance Use Disorder Counselor C Yes Mendiola Rose Registered Substance Use Disorder Counselor R Yes Bostonian Robert Certified Substance Use Disorder Counselor LCi Yes Garrett James Certified Substance Use Disorder Counselor A Yes Wentworth David Registered Substance Use Disorder Counselor R Yes Hill Nathan Registered Substance Use Disorder Counselor R Yes Roudebush Stacy Registered Substance Use Disorder Counselor R Yes Guomas Ernest Licensed Marriage and Familty Therapist LMFT Yes Rexford Brittney Certified Substance Use Disorder Counselor C No Smith Vinita Certified Substance Use Disorder Counselor Yes Lambert Bryan Certified Substance Use Disorder Counselor Yes Keys Aubrey Licensed Marriage and Familty Therapist LMFT Yes Last Name First Name Licensure Helen Vine Recovery Center (Buckelew Programs) Bay Area Comummunity Resources Completed Goldstein Steven Licensed Marriage and Familty Therapist LMFT Yes Cosby Frost Amy Licensed Marriage and Familty Therapist LMFT Yes Ascierto Cristina Licensed Marriage and Familty Therapist LMFT Yes Locati Candrian Associate Marriage and Family Therapist imft Yes

8 Marin Services for Men (Marin and Recovery Services) Last Name First Name Licensure Completed 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) Completed 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

9 Last Name First Name Licensure Center Point, Inc. Completed 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

10 Last Name First Name Licensure Completed 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 Center Sunny Hills Services Completed 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