Membership Level change You have selected the Clinical Membership membership level. This applies if you are: A California Licensed Marriage and Family Therapist; Who is a member in good standing of CAMFT. Subscription period: 1 year, beginning on January 1, 2023. This is not a recurring payment. The price for membership is $75.00 now. Membership expires on January 31, 2024. Account Information Already have an account? Log in here Username Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK More Information Middle Name Organization Website 2 State CAMFT Number Please enter the number only. If entered incorrectly you will be contacted Short Description (199 characters max) Description (2950 characters max) License and Education License Type Licensed Marriage & Family TherapistIntern - Marriage & Family TherapistLCSW- Other License Type Other License Type License # Intern # Intern Supervisor Name (n/a if not seeing clients) Intern Supervisor LIcense # (n/a if not seeing clients) Degree(s) - Other DegreeD.Min.Ed.D.J.D.M.A.M.D.M.Ed.M.S.M.S.W.Ph.D.PsyD.RN Other Degree(s) Office Locations Location(s) - Other LocationBayview/Hunter's PointBernal Heights/Glen ParkCastroCathedral HillCole ValleyEast BayEmbarcadero/WaterfrontFinancial District/Union SquareHaight/AshburyHayes ValleyInner SunsetLaurel HeightsMarinMarina/Cow HollowMissionNob HillNoe Valley/Diamond HeightsNorth BeachPacific HeightsParkside/StonestownPeninsulaPotrero HillRichmondRussian HillSOMASonomaWestern Addition/Fillmore Other Office Location Office Phone Office Address Office City Office State Office Zip 2nd Office Phone 2nd Office Address 2nd Office City 2nd Office State 2nd Office Zip Fees Sliding Scale Yes No Fee (range) Credit Cards Accepted Yes No Areas of Specialization Specialization - Other LocationADD-ADHDAIDS/HIV/ARCAbuse - CurrentAbuse - SurvivorsAddictionsAdolescentsAdoption IssuesAdult Children of Alcoholics/CodependencyAnger ManagementAnxiety/PhobiasArt TherapyChildrenChronic/Life-Threatening IllnessCoachingCommunication SkillsCouples CounselingCreativity for ArtistsCrisis InterventionCross-cultural IssueDepressionDisabilityDissociative DisorderDivorce/Separation/CustodyDomestic ViolenceDual DiagnosisEating DisordersElder IssuesFamiliesForensic ConsultationGrief & LossLGBTQILearning DisabilitiesLife Cycle TransitionsMen's IssuesMenopauseMidlife IssuesMind/Body (Somatic)Panic AttacksParentingPersonality DisordersPost-traumatic StressPregnancy/Childbirth/InfertilityRelationshipsSchool ProblemsSelf-Esteem IssuesSex TherapySpiritualityStep/Blended FamiliesStress ManagementSubstance AbuseWomen's IssuesWork/Career Issues Do not select more than 6 Areas of Emphasis. Any more will be removed. Other Specialization Client Types Clients Individual AdultsCouplesFamiliesChildrenAdolescentsGroupsHandicapped Access Clinical Orientation Orientation - Other OrientationAEDPBehavior ModificationBody Oriented TherapyBrief TherapyClient Centered TherapyCognitive/Behavioral TherapyControl-Mastery TherapyDialectical Behavioral TherapyDrama TherapyEMDRExpressive Arts TherapyFamily Systems TherapyHumanistic/Existential TherapyHypnotherapyImago Relationship TherapyIntegrative/EclecticIntersubjectiveJungianObject Relations TherapyPlay TherapyPsychoanalytic TherapyPsychodynamic TherapySand PlaySelf PsychologySpiritual/ReligiousTranspersonal Other Specialization Additional Language Spoken Additional Language - Other LanguageAmerican Sign languageChineseFarsiFrenchGermanGreekHebrewHindiItalianJapanesePortugueseRussianSpanish Other Language Insurance Accepted Insurance - Other Insurance- Will provide superbill for PPO insuranceAPS HealthcareAetnaBeech StreetBlue CrossBlue ShieldCignaCollege Health IPAHealth NetHumanaMHNMagellanPacifiCareTri-Care WestUBHValue Options Other Insurance Therapy Groups Offered Groups - Other GroupAdolescentAnger ManagementAnxietyArt TherapyBereavementCaregiversChildrenCo-DependencyCo-ParentingConsultation/SupervisionCouplesDepressionDivorce/SeparationEating Disorders/Body ImageGrief/LossInterpersonalLGBQTMedical IssuesMen's GroupMindfulnessParenting/Step-ParentingRelapse PreventionSeniorsSinglesSocial AnxietySocial Skills TrainingSubstance AbuseSupportSurvivors of AbuseTraumaWomen's Group Other Group Group Description Supervision (for Therapists) Supervision - Other SupervisionAAMFT Approved SupervisorCAMFT Certified SupervisorGroup SupervisionIndividual SupervisionSupervision of Supervisors Other Supervision Supervision Description Demographic Information Gender Identity: How do you identify? Cisgender Man Cisgender Woman Gender Nonbinary Transgender man Transgender woman I prefer not to answer Additional gender category/identity not listed, please specify Gender Identity Sexual Identity: How do you identify? Bisexual Gay Straight (Heterosexual) Lesbian Pansexual Queer I prefer not to answer Additional sexual identity category not listed, please specify Sexual Identity Ethnic origin: Please specify your ethnicity. White Hispanic, non-Latinx Latinx Black or African American Native American or American Indian Asian / Pacific Islander South Asian / Indian Multiracial I prefer not to answer Other Other Multiracial Employment Status: Are you currently...? Please choose one In Traineeship In Counseling Center In Part-Time Private Practice Full-Time Private Practice Agency job Agency job/part-time private practice Unemployed Other Other Employment Status If licensed, please indicate how many years you have been licensed. 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If you would like to pay by check: Click on the invoice that was created, print it and mail it to SF CAMFT with a Make your check payable to "San Francisco CAMFT" and mail both of these to: San Francisco CAMFT 1032 Irving Street, #441 San Francisco, CA 94122-2200 (415) 273-1954 Join our mailing list. SF CAMFT Members Processing...
