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 1-888-818-1115 (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 1-888-818-1115 (toll free). Hearing and/or speech impaired members can call the California Relay Service by dialing 711. 2/2019
LANGUAGE ASSISTANCE/ASISTENCIA DE IDIOMAS ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-818-1115 [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 1-888-818-1115 [711 (TTY/TDD)]. Español () ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-818-1115 [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 1-888-818-1115 [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 1-888-818-1115 [711 (TTY/TDD)].
Tagalog (Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-818-1115 [711 (TTY/TDD)]. 한국어 (Korean) 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. 1-888-818-1115 [711 (TTY/TDD)]. 번으로전화해주십시오. Հայերեն (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-888- 818-1115 [711 (TTY/TDD)]. (Farsi) فارسی 1-888-818-1115 [711 (TTY/TDD)] Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-818-1115 [ телетайп: 711).
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.1-888- 818-1115 [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. 888-1- مكبالو مصال فتاھ : (TTY/TDD)] [711 818-1115 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 1-888-818-1115 [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 1-888-818-1115 [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 1-888-818-1115 [711 (TTY/TDD)].
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 1-888-818-1115 [711 (TTY/TDD)] पर क ल कर ภาษาไทย (Thai) เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร 1-888-818-1115 [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 1-888-818-1115 [711 (TTY/TDD)].
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 94903 www.buckelew.org 291 Smith Ranch Rd. San Rafael, CA 94903 www.buckelew.org 415-492-0818 24 Hours/7 Days 415-492-0818 24 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 www.bacr.org 171 Carlos Drive San Rafael, CA 94903 www.bacr.org 103 Shoreline Pkwy www.bacr.org 171 Carlos Drive San Rafael, CA 94903 www.bacr.org 415-328-6269 415-755-5812 415-328-6269 415-755-5812 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
Marin and Recovery Services (Program Renacer) (Program Renacer) 710 C Street, Ste 8 www.marin.com 710 C Street, Ste 8 www.marin.com 415-485-6736 415-485-6736 9:00AM-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 94903 www.marinhhs.org/bhrs 10 N. San Pedro Rd. San Rafael, CA 94903 www.marinhhs.org/bhrs 10 N. San Pedro Rd. San Rafael, CA 94903 www.marinhhs.org/bhrs 10 N. San Pedro Rd. San Rafael, CA 94903 www.marinhhs.org/bhrs 415-473-2555 415-473-2555 415-473-2555 415-473-2555 8:30AM-4:00PM 8:30AM-4:00PM 8:30AM-4:00PM 8:30AM-4:00PM 2/2019
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) 1601 2nd Street #104 www.cpinc.org 1601 2nd Street #104 www.cpinc.org (Protected) San Rafael, CA www.cpinc.org 603 D Street www.cpinc.org 300 Sunny Hills Dr. San Anselmo, CA 94960 www.sunnyhillsservices.org 300 Sunny Hills Dr. San Anselmo, CA 94960 www.sunnyhillsservices.org 415-456-6655 415-456-6655 10:00AM-9:30PM 10:00AM-9:30PM 415-456-6655 24 Hours/7 Days 415-456-6655 24 Hours/7 Days 415-526-8097 Tuesday - Friday 4:00pm - 8:30pm Saturday: 10:00am - 2:30pm 415-526-8097 24 Hours/7 Days 2/2019
Medication Assisted Treatment 1466 Lincoln Ave. www.mtcinc.org 415-457-3755 1:00PM-6:30PM Marin Treatment Center Withdrawal Management (ASAM 1- WM) Medication Assisted Treatment Medication Assisted Treatment 1466 Lincoln Ave. www.mtcinc.org 1466 Lincoln Ave. www.mtcinc.org 415-457-3755 415-457-3755 1:00PM-5:30PM 7:00AM-1:30PM Opioid (Narcotic) Treatment Program Medication Assisted Treatment 1466 Lincoln Ave. www.mtcinc.org 415-457-3755 Dosing Hours: M-F: 7:00AM- 11:30AM Sat/Sun: 7:45AM- 10:30AM Holidays: 9:30-10:00AM 2/2019
Homeless/Atrisk of Homeless 1399 Hamilton Pkwy Novato, CA 94949 www.rittercenter.org 415-457-8182 x203 Friday: 1:30PM - 3:00PM and By Appointment Ritter Center Homeless/Atrisk of Homeless 1399 Hamilton Pkwy Novato, CA 94949 www.rittercenter.org 415-457-8182 x203 Monday/Wed./Friday 6:00PM - 9:15PM and By Appointment Homeless/Atrisk of Homeless 190 Mill Street www.rittercenter.org 415-457-8182 x203 Monday/Wed./Friday 9:00AM - 12:15PM and By Appointment 2/2019
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 1255725495 C052540518 Yes Evans Cher Certified Substance Use Disorder Counselor 1447597059 7769 Yes Fergusion, Jr. Lindsay Licensed Marriage and Familty Therapist 1922308295 LMFT 43373 Yes Goss III James Certified Substance Use Disorder Counselor 1598159790 C040770217 Yes Ohm Kira Licensed Marriage and Familty Therapist 1821010885 LMFT 50690 Yes Perez Felipe Registered Substance Use Disorder Counselor 1912367236 R11701214 Yes Stevenson III James Certified Substance Use Disorder Counselor 1356888267 6846 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 1790984524 M1105231750 Yes Marquardt Byrd LaRee Licensed Marriage and Familty Therapist 1720232259 LMFT 31559 Yes Triolo Michael Certified Substance Use Disorder Counselor 1609318385 C039160916 Yes Ricci James Certified Substance Use Disorder Counselor 1417238429 LCi 04300815 Yes Miller Alan Certified Substance Use Disorder Counselor 1215201660 C040650117 Yes Lamorte Michael Registered Substance Use Disorder Counselor 1649789124 R1257300717 Yes DeVido Jeffrey Medical Doctor, Psychiatry 1932368560 A126745 No Scovis Teena Licensed Marriage and Familty Therapist 1396282786 LMFT 32038 Yes Madrigal Melina Registered Substance Use Disorder Counselor 1565900900 R1292350218 Yes
Last Name First Name Licensure Center Point, Inc. National Provider Identification number License Number Completed Competence Training Nelson Michael Certified Substance Use Disorder Counselor 1578844486 C21141214 Yes Naeve Ronald Certified Substance Use Disorder Counselor 1427339365 169238 Yes Lord Anthony Registered Substance Use Disorder Counselor 1376070440 R1269000007 Yes Buck Moyer Lindsey Certified Substance Use Disorder Counselor 1639506389 5879 Yes West Reginald Certified Substance Use Disorder Counselor 1548618945 Ci22940418 Yes Gaines Harriett Certified Substance Use Disorder Counselor 1063795698 C2861214 Yes Taylor Sushma Licensed Marriage and Familty Therapist 1275927394 LMFT 24269 Yes Sverchek Gloria Licensed Marriage and Familty Therapist 1245412105 LMFT 46639 Yes Taylor Rodney Licensed Marriage and Familty Therapist 1588058697 LMFT 12402 Yes Holsten Tonia Certified Substance Use Disorder Counselor 1417238379 C052360518 No Bankston Tammy Certified Substance Use Disorder Counselor 1265643944 Ci22750418 No Mazzariello Greg Registered Substance Use Disorder Counselor 1316440175 R1289570218 No Lowers Aaron Certified Substance Use Disorder Counselor 1063916682 A048841217 No Fitzgerald Aine Registered Substance Use Disorder Counselor 1306383526 R1234881016 Yes Hill Jeannie Certified Substance Use Disorder Counselor 1114317146 C19611214 Yes Wesson Prudence Registered Substance Use Disorder Counselor 1821508417 R1267971017 Yes Cheatum Dana Certified Substance Use Disorder Counselor 1619470234 A042240913 No McSwain Cheryl Associate Marriage and Family Therapist 1902016934 imft 81862 No Browning Tom Certified Substance Use Disorder Counselor 1063793727 C14751214 Yes Brown Paulette Certified Substance Use Disorder Counselor 1376750661 B0702050826 Yes Ssemmuli John Associate Marriage and Family Therapist 1255866495 imft 98034 Yes
Last Name First Name Licensure National Provider Identification number License Number Completed Competence Training Merritt Havalyn Associate Clinical Social Worker 1154503092 icsw 60230 Yes Beggs Dawn Registered Substance Use Disorder Counselor 1821483454 R1302680418 Yes Bishop Anny Licensed Marriage and Familty Therapist 1679814560 LMFT 96434 Yes Catan Hope Associate Marriage and Family Therapist 1427426527 imft 100862 Yes Hansia Yaqub Registered Psychologist 1790179760 PSY 2012776 Yes Kameron Alessandra Associate Substance Use Disorder Counselor 1295944809 Ci1870315 Yes Kong Linna Associate Marriage and Family Therapist 1639627144 imft 88884 Yes Norman Royal Certified Substance Use Disorder Counselor 1609106608 N0312291432 Yes Obranovich Cherie Registered Psychologist 1518389501 PSY 2012350 Yes Panaligan Edelyn Registered Substance Use Disorder Counselor 1679000442 R12222 Yes Wonacott Kathleen Associate Clinical Social Worker 1558620419 icsw 77334 Yes Funez Arteaga Michelle Licensed Clinical Social Worker 1851422927 LSCW 23452 Yes Eisenberg Elyse Medical Doctor 1316966815 G 64542 Yes Sandberg Russell Medical Doctor 1265522528 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 1750818985 7525 Yes DeWolfe Alexander Registered Substance Use Disorder Counselor 1801305560 R1263710917 Yes Guthrie Bryanne Licensed Clinical Social Worker 1629193966 LCSW 64452 Yes Merriam Donald Lee Associate Substance Use Disorder Counselor 1952763724 Ci106291016 Yes Moglen Sam Licensed Marriage and Family Therapist 1821233982 LMFT 102232 Yes Spalding Alexis Associate Substance Use Disorder Counselor 1154839728 Ci07040317 Yes