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Page 1 of 29 County of Imperial Substance Use Disorder Treatment Services Provider Directory This provider directory, along with information about SUD treatment services, is available online at http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=SUDdir or by request at (800) 817-5292. January 2020

County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

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Page 1: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 1 of 29

County of Imperial

Substance Use Disorder Treatment Services

Provider Directory

This provider directory, along with information about SUD treatment services, is available online at

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=SUDdir or by request at (800) 817-5292.

January 2020

Page 2: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 2 of 29

LANGUAGE ASSISTANCE

English ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-800-817-5292 (TTY: 1-800-539-8868).

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 1-800-817-5292 (TTY: 1-800-539-8868). Español (Spanish) ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-817-5292 (TTY: 1-800-539-8868). 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 1-800-817-5292 (TTY: 1-800-539-8868). Tagalog (Tagalog ̶ Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-817-5292 (TTY: 1-800-539-8868).

한국어 (Korean)

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-817-5292 (TTY: 1-800-539-

8868) 번으로 전화해 주십시오.

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 1-800-817-5292 (TTY: 1-800-539-8868).

Հայերեն (Armenian)

ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության

ծառայություններ: Զանգահարեք 1-800-817-5292 (TTY: 1-800-539-8868).

Page 3: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 3 of 29

Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-817-5292 (TTY: 1-800-539-8868). (Farsi) فارسی

: اگر به زبان فارسی گفتگو می کنید، تسهیالت زبانی بصورت رایگان برای شماتوجه تماس بگیرید. (TTY: 1-800-539-8868) 5292-817-800-1فراهم می باشد. با

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。1-800-817-5292 (TTY: 1-800-539-8868) まで、

お電話にてご連絡ください。

Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-817-5292 (TTY: 1-800-539-8868). ਪਪਪਪਪਪ (Punjabi) ਧਧਧਧ ਧਧਧ: ਧਧ ਧਧਧਧਧ ਧਧਧਧਧਧ ਧਧਧਧਧ ਧਧ, ਧਧਧ ਧਧਧਧ ਧਧਧਧ ਧਧਧਧਧਧ ਧਧਧਧ ਧਧਧਧਧਧ ਧਧ ਧਧਧਧ ਧਧਧਧਧ ਧਧਧ 1-800-817-5292 (TTY: 1-800-539-8868) 'ਧਧ ਧਧਧ ਧਧਧਧ (Arabic) العربية

8868-539-800-1)رقم هاتف الصم والبكم: 5292-817-800-1ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم ਪਪਪਪਪ (Hindi)

ध्यान दें : यदद आप हहहहह बोलते हैं तो आपके दलए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-800-817-5292 (TTY: 1-800-539-8868)

पर कॉल करें ।

ภาษาไทย (Thai) เรียน: ถา้คณุพูดภาษาไทยคณุสามารถใชบ้รกิารชว่ยเหลือทางภาษาไดฟ้รี โทร 1-800-817-5292 (TTY: 1-800-539-8868).

ខ្មែរ (Cambodian)

ប្រយ័ត្ន៖ ររ ស ើ ិិនជាអ្នកនិយាយ ភាសាខ្មែ , រ វាជំនួយមននកភាសា សោយមិនគិត្្ិួ លិន

គឺអាចមាន ំោ ិ ិំររ អ្្ស ើិ នក។ ចូ ទូ ័ព្ទ1-800-817-5292 (TTY: 1-800-539-8868)។

ਪਪਪਪਪਪਪ (Lao) हहहहहह: हहहहहह हहहहहहहहहहहहह हहह, हहहहहहहहहहहहहहहहहहहहहहहहहहह, हहहहहहहहहहहहह, हहहहहहहहहहहहहहहहह. हहह 1-800-817-5292 (TTY: 1-800-539-8868).

Page 4: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 4 of 29

PLEASE NOTE:

“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.”

Page 5: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 5 of 29

County-Operated Substance Use Disorders (SUD) Treatment

Authorization or referral may be required to access some providers.

Outpatient Office Based

Provider: El Centro Adult Substance Use Disorder Treatment Program

Address: 2695 S. 4th St., 2nd Floor El Centro, CA 92243

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=adultalc

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Bushra Ahmad, MD License # A73057 NPI # 1043356850 Specialty: State of California Medical Board of California Certified

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, Asian/Pacific

Islander, Pakistani, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client, Disabled

Yes

Laura Escalera, AMFT Associate # 105228 NPI # 1699922104 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, African American, LGBTQ, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Page 6: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 6 of 29

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence Training

Rodolfo Mercado, ACSW Associate # 81287 NPI # 1356890248 Specialty: CA Board of Behavioral Science-Associate Clinical Social Worker

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Sonia Becerra, AMFT Associate # 98059 NPI # 1417343849 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive) Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/ African American, Hispanic/Latino, Older Adults, LGBTQ, White, Mental Health Clients, Family Members of Mental Health Clients, Substance Use Disorder Clients, Family Members of Substance Use

Yes

Page 7: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

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Disorder Clients, Disabled

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence Training

Eufemio Anaya, AMFT Associate # 92740 NPI # 1487849345 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health Client

Yes

Brandon Bridgeman, AMFT Associate # 10002 NPI# 1235653668 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American Indian/Alaskan

Native, Asian/Pacific

Islander, Black/ African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

No

Page 8: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 8 of 29

Andrea Saldivar, ACSW Associate # 78560 NPI #1538519327 Specialty: CA Board of Behavioral Science-Associate Clinical Social Worker

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, African American,

Older Adult, LGBTQ, Mental Health Client,

Family of Mental Health Client

Yes

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.

Adults Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, African American,

Older Adult, LGBTQ, Mental Health Client,

Family of Mental Health Client

Yes

Page 9: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 9 of 29

Outpatient Office Based

Provider: El Centro Adolescent Substance Use Disorder Treatment Program

Address: 1295 W. State Street Suites 101-106 El Centro, CA 92243

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Bushra Ahmad, MD License # A73057 NPI # 1043356850 Specialty: State of California Medical Board of California Certified

Adolescents Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, Asian/Pacific

Islander, Pakistani, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client, Disabled

Yes

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Crystal Sabala, ACSW Associate # 88789 NPI # 1699131565

Adolescents Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive

Yes Spanish

*Sign language upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

No

Page 10: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 10 of 29

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Specialty: CA Board of Behavioral Science- Associate Clinical Social Worker

Outpatient Program (IOP)

* Other languages upon request

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Julie Luna, AMFT Associate # 110189 NPI # 1780045369 Specialty: CA Board of Behavioral Science-Associate Marriage & Family Therapist

Adolescents Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Yes

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

Adolescents Non-Perinatal – Outpatient Drug

Free (ODF) &

Intensive Outpatient

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, Asian/Pacific

Islander, Pakistani, Alaskan/Native

American, African American, Older

Yes

Page 11: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 11 of 29

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

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.

Program (IOP) Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client, Disabled

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Contracted Substance Use Disorders (SUD) Treatment Providers

For referrals and verification that the contracted SUD treatment providers listed below are accepting new Medi-Cal

beneficiaries, please contact the Access Unit at 1-800-817-5292.

Narcotic Treatment Provider

Provider: Imperial Valley Medical Clinic, Inc.

Address: 535 W. Cesar Chavez Blvd., Calexico, CA 92231

Website:

Phone: (760) 357-6566

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Lucian Oprea, MD License # A92196 NPI # 1033329792 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes

Spanish

French

Romanian

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African,

Hispanic/Latino, Substance Use Disorder Clients

Yes

Rita Elain Starritt, MD License # C54648 NPI # 1548225964 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

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Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Freddy Carreno, NP License # 14151 NPI # 1144420928 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Chip Booher, NP License # 95000248 NPI # 1841617529 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

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.

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish

French

Romanian

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 14: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

Page 14 of 29

Narcotic Treatment Provider

Provider: Medical Treatment Center

Address: 200 S. 5th St., El Centro, CA 92243

Website:

Phone: (760) 482-0864

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Lucian Oprea, MD License # A92196 NPI # 1033329792 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish

French

Romanian

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Rita Elain Starritt, MD License # C54648 NPI # 1548225964 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

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Page 15 of 29

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Freddy Carreno, NP License # 14151 NPI # 1144420928 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Chip Booher, NP License # 95000248 NPI # 1841617529 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

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.

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish

French

Romanian

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

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Residential Treatment Provider

Provider: McAlister Institute for Treatment and Education - Group Home East

Address: Group Home locations are kept confidential 1400 Johnson Ave #101, El Cajon, CA 92020 (Administration)

Website: www.mcalisterinc.org

Phone: (619) 442-0277 ext. 108

Accessible to people with physical disabilities: Yes

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Aleka Heinrici, Medical Director License # A125329 NPI # 1780979120 Specialty: Family Medicine

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Eric Blank, Licensed Marriage and Family Therapist (LMFT)

License # 110647

NPI # 1033582796 Specialty: CA Board of Behavioral Science- Licensed Marriage and Family Therapist (LMFT)

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Leticia Schmitten, Associate Marriage and Family Therapist (AMFT) License # 97965 NPI # 1619491503 Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist (AMFT)

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

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Page 17 of 29

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Jennifer Robinson, Associate Marriage and Family Therapist (AMFT) License # 97030 NPI # 1477091361 Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist (AMFT)

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes American Sign Language

(ASL)

Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Margaret Lillywhite, Licensed Clinical Social Worker (LCSW) License # 27449 NPI # 1144370453 Specialty: CA Board of Behavioral Science- Licensed Clinical Social Worker (LCSW)

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

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.

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish

American Sign Language

(ASL)

Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Page 18: County of Imperial...Page 5 of 29 County-Operated Substance Use Disorders (SUD) Treatment Authorization or referral may be required to access some providers. Outpatient Office Based

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Residential Treatment Provider

Provider: McAlister Institute for Treatment and Education, Inc.- Adolescent Group Home South

Address: Group Home locations are kept confidential 1400 Johnson Ave #101, El Cajon, CA 92020 (Administration)

Website: www.mcalisterinc.org

Phone: (619) 442-0277 ext. 108

Accessible to people with physical disabilities: Yes

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Aleka Heinrici, Medical Director

License # A125329

NPI # 1780979120

Specialty: Family Medicine

Children and Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Adrianna Rodriguez, Associate Marriage and Family Therapist (AMFT)

License # 103139

NPI # 1013389188

Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist (AMFT)

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Leticia Schmitten, Associate Marriage and Family Therapist (AMFT)

License # 97965

NPI # 1619491503

Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist (AMFT)

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

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Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

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.

Children and Youth

*Male

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

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Residential Treatment Provider

Provider: McAlister Institute for Treatment and Education – Lemon Grove Facility

Address: Group Home locations are kept confidential 1400 Johnson Ave #101, El Cajon, CA 92020 (Administration)

Website: www.mcalisterinc.org

Phone: (619) 465-7303 x2602

Accessible to people with physical disabilities: Yes

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Aleka Heinrici, Medical Director

License # A 125329

NPI # 1780979120

Specialty: Family Medicine

Perinatal & Adults

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Candice Hendrickson, Licensed Marriage & Family Therapist (LMFT)

License # 49672 Registration # R1252550617

NPI # 1992922561

Specialty: Licensed Marriage & Family Therapist (LMFT) & Registered Substance Abuse Counselor

Perinatal & Adults

Perinatal & Non-

Perinatal Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Female, Criminal Justice

Yes

Michelle Alexander, Associate Marriage and Family Therapist (AMFT) Associate # 103258 NPI # 1699293134 Specialty: Associate Marriage and Family Therapist (AMFT)

Perinatal & Adults

Perinatal & Non-Perinatal

Residential SUD

Treatment

Yes None Co-occurring

disorders,

Gender

responsive,

Female,

Criminal

Justice

Yes

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Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Cynthia Figueroa-Hawkins, Associate Marriage and Family Therapist (AMFT)

Associate # 101955 Registration # R1267620917

NPI # 1396254439

Specialty: Associate Marriage and Family Therapist (AMFT) & Registered Substance Abuse Counselor (SAC)

Perinatal & Adults

Perinatal & Non-Perinatal

Residential SUD

Treatment

Yes None Co-occurring disorders, Gender

responsive, Female, Criminal Justice

Yes

Anthony Weeks, Associate Marriage and Family Therapist (AMFT) Associate # 98077 NPI # 1881139608 Specialty: Associate Marriage and Family Therapist (AMFT)

Perinatal & Adults

Perinatal & Non-Perinatal

Residential SUD

Treatment

Yes None Co-occurring disorders, Gender

responsive, Female, Criminal Justice

Yes

Charlene Wright, Associate Clinical Social Worker (ACSW) Registration # 72860 NPI # 1093265720 Specialty: Associate Clinical Social Worker (ACSW)

Perinatal & Adults

Perinatal & Non-Perinatal

Residential SUD

Treatment

Yes None Co-occurring disorders, Gender

responsive, Female, Criminal Justice

Yes

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Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Shantel Bridgewater-Thomas – Marriage & Family Therapist (MFT) Registration # 104276 NPI # 1124478557 Specialty: Marriage & Family Therapist (MFT)

Perinatal & Adults

Perinatal & Non-Perinatal

Residential SUD

Treatment

Yes None Co-occurring disorders, Gender

responsive, Female, Criminal Justice

Pending

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.

Perinatal & Adults

Perinatal & Non-Perinatal

Residential SUD

Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Female, Criminal Justice

Yes

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County-Operated Substance Use Disorders (SUD) Treatment

Authorization or referral may be required to access some providers.

Residential Treatment Program

Provider: Tarzana Treatment Centers, Inc.

Address: 44447 North 10th Street West, Building B, Lancaster, CA 93534

Website: www.tarzanatc.org

Phone: 800-996-1051

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Tawnny Haymond, Senior Supervisor, Licensed Marriage and Family Therapist (LFMT)

License # 98623

NPI # 1558679217

Specialty: Licensed Marriage and Family Therapist

Adults Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Adults, Transition Age Youth,

Perinatal Women, Lesbian, Gay,

Bisexual, Transgender

Yes

Karen Torres, Licensed Marriage and Family Therapist (LFMT) License # 111021 NPI # 1700278579 Specialty: Licensed Marriage and Family Therapist

Adults Residential Rehabilitation

Yes Spanish Adults, Transition Age Youth,

Perinatal Women, Lesbian, Gay,

Bisexual, Transgender

Yes

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Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence Training

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.

Adults Residential Rehabilitation

Yes Spanish

Sign Language and /or other languages

upon request

Adults, Transition Age Youth,

Perinatal Women, Lesbian, Gay,

Bisexual, Transgender

Yes

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Residential Treatment Program

Provider: Tarzana Treatment Centers, Inc.

Address: 44447 North 10th Street West, Building C, Lancaster, CA 93534

Website: www.tarzanatc.org

Phone: 800-996-1051

Accessible to people with physical disabilities:

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Doreen McCandless, Licensed Marriage and Family Therapist (LFMT) License # 91281 NPI # 1699951517 Specialty: Licensed Marriage and Family Therapist

Youth Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Youth, Transition aged youth, Lesbian,

Gay, Bisexual, Transgender

Yes

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.

Youth Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Youth, Transition aged youth, Lesbian,

Gay, Bisexual, Transgender

Yes

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Residential Treatment Program

Provider: Tarzana Treatment Centers, Inc.

Address: 18646 Oxnard St., Tarzana, CA 91356

Website: www.tarzanatc.org

Phone: 800-996-1051

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Desiree Gonzales-Long, Licensed Marriage and Family Therapist (LMFT) License # LMFT47138 NPI # 1841202066 Specialty: Licensed Marriage and Family Therapist

Adults

Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Adults, Perinatal women, Lesbian,

Gay, Bisexual, Transgender

Veterans

Yes

Keith Star, Licensed Marriage and Family Therapist (LMFT)

License # LMFT28743

NPI # 1174836951 Specialty: Licensed Marriage and Family Therapist

Adult

Withdrawal Management

Yes Sign Language and /or other languages

upon request

Adults, Lesbian, Gay, Bisexual,

Transgender

Veterans

Yes

Lilian Vai, Clinical Supervisor

License # 82038

NPI # 1386111425

Specialty: Licensed Clinical Social Worker

Adult

Withdrawal Management

Yes Sign Language and /or other languages

upon request

Adults, Lesbian, Gay, Bisexual,

Transgender

Veterans

Yes

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Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Antionette Olivarez, Registered Nurse

License # 486075

NPI # 1679016133

Specialty: Registered Nurse

Adult

Withdrawal Management

Yes Sign Language and /or other languages

upon request

Adults, Perinatal women, Lesbian,

Gay, Bisexual, Transgender

Yes

E. Duane Carmalt, M.D. Medical Director License # G23973 NPI # 1952597627 Specialty: Internal Medicine

Adult Withdrawal Management

Yes Sign Language and /or other languages

upon request

Adults, Lesbian, Gay, Bisexual,

Transgender

Yes

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.

Adult Withdrawal Management

Yes Sign Language and /or other languages

upon request

Adults, Lesbian, Gay, Bisexual,

Transgender

Yes

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Residential Treatment Program

Provider: Tarzana Treatment Centers, Inc.

Address: 2101 Magnolia Avenue, Long Beach, CA 90806

Website: www.tarzanatc.org

Phone: 800-996-1051

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Corine Charm, M.D License # LMFT #52333 NPI # 1679827588 Specialty: Doctor of Philosophy

Adults Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Lesbian, Gay, Bisexual,

Transgender

Older Adults Transition Age

Youth Veterans

Yes

Lauren Elise Dibbs, Director, Licensed Marriage and Family Therapist (LFMT) License # MFC 50797 NPI # 1639403017 Specialty: Licensed Marriage and Family Therapist

Adults Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Lesbian, Gay, Bisexual,

Transgender

Older Adults Transition Age

Youth Veterans

Yes

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Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Elizabeth Zarate-Rowell, M.D., Psychiatrist

License # A53142 NPI # 1992830236 Specialty: M.D., Psychiatrist

Adults Residential Rehabilitation

Yes Spanish Lesbian, Gay, Bisexual,

Transgender

Older Adults Transition Age

Youth Veterans

Yes

Ann Abraham, Nurse Practitioner License # 95005144 NPI # 1447795182 Specialty: Family Nurse Practitioner

Adults Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Lesbian, Gay, Bisexual,

Transgender Older Adults

Transition Age Youth

Veterans

Yes

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.

Adults Residential Rehabilitation

Yes Sign Language and /or other languages

upon request

Lesbian, Gay, Bisexual,

Transgender Older Adults

Transition Age Youth

Veterans

Yes