Approved Entities

Waiver Number 465

Primary Entity Name SCO Family of Services

Primary Address 1 Alexander Place Primary Phone (516) 671-1253 Number

Glen Cove Current Waiver Issued Beginning Period NY 4/15/2015 11542-

Current Waiver Ending Period County Nassau 4/30/2018

Professional Services to be Offered by Qualified Individuals: Licensed Master Social Work Licensed Marriage and Family Therapy Licensed Psychoanalysis

Licensed Clinical Social Work Licensed Creative Arts Therapy Psychology

Licensed Mental Health Counseling Licensed Behavior Analyst Certified Behavior Analyst Assistant

Additional Sites if any - with Certificate Number

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CW - 465 1418- Family Dynamics/ School Based & After School Program at East NY School of Excellence

CW - 465 1407- Family Development Center- Single Stop Center

Tuesday, August 04, 2015 Page 1 of 21

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CW - 465 1429 - Family Foster Care Medical Services

CW - 465 1428 - Family Foster Care Medical Services

CW - 465 1427- Family Foster Care Program and Adoption

CW - 465 1426- Family Foster Care Program and Adoption

CW - 465 1425- Family Foster Care Program and Adoption

CW - 465 1424 - Family Enhancement Services

CW - 465 1423 - Family Enhancement Services

CW - 465 1422- Family Dynamics- Prevention

CW - 465 1421- Family Dynamics/ New Horizons

CW - 465 1431 - Family Foster Care Medical Services

Tuesday, August 04, 2015 Page 2 of 21

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CW -

CW -

465

465

1419-

1432 -

Family Dynamics/ School Based & After School Program at PS 81

Family Foster Care Medical Services

CW - 465 1417- Family Dynamics/ Bayview Correctional- Project Affirm

CW -

CW -

465

465

1416-

1415-

Family Dynamics/ School Bases & After School Program at PS 5

Family Dynamics- Prevention

CW - 465 1414- Family Dynamics- Prevention

CW - 465 1413- Family Dynamics- Prevention

CW - 465 1412- Family Development Center/ Preventive Program

CW -

CW -

465

465

1411-

1410-

Family Development Center/ Community Partnership Project

Family Development Center- Preventive

Tuesday, August 04, 2015 Page 3 of 21

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CW - 465 1409- Family Development Center- Preventive

CW - 465 1472- Independence Inn I

CW -

CW -

465

465

1420-

1443-

Family Dynamics/ Beacon Center and After School Programs at MS 35

GLBTQ Program

CW - 465 1354- 97th Avenue IRA

CW - 465 1469- Home and Community Based Services Waiver Program

CW - 465 1465- Hard- to- Place AOBH

CW - 465 1461- Hard- to- Place AOBH

CW - 465 1458- Hard- to- Place AOBH

CW - 465 1455- Hard-to- Place AOBH

Tuesday, August 04, 2015 Page 4 of 21

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CW - 465 1452 - Hard- To-Place- AOBH

CW - 465 1450 - Hard-to-Place- AOBH

CW - 465 1448- Gregory IRA

CW - 465 1446- Grace House

CW - 465 1430 - Family Foster Care Medical Services

CW - 465 1444- GLBTQ Program- AOBH

CW - 465 1406- Family Development Center- Single Stop

CW - 465 1442- GLBTQ Program

CW - 465 1441- Flushing Family Residence- (Shleter)

CW - 465 1440- Farmingdale Shelter

Tuesday, August 04, 2015 Page 5 of 21

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CW - 465 1439- Family Foster Care Mental Health Services

CW - 465 1438- Family Foster Care Mental Health Services

CW - 465 1437- Family Foster Care Mental Health Services

CW - 465 1436- Family Foster Care Mental Health Services

CW - 465 1435- Family Foster Care Mental Health Services

CW - 465 1434- Family Foster Care Mental Health Services

CW - 465 1433- Family Foster Care Mental Health Services

CW - 465 1445- Good Shepherd Residence

CW - 465 1368- Bridges to Health- NYC

CW - 465 1408- Family Development Center- Single Stop Center

Tuesday, August 04, 2015 Page 6 of 21

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CW -

CW -

465

465

1379 -

1378 -

Center for Family Life- Community Services Program & Single Stop

Center for Family Life/ Central Brooklyn Domestic Violence

CW -

CW -

CW -

465

465

465

1377 -

1376 -

1375 -

Center for Family Life Beacon & After School Program at PS 503/506

Center for Family Life- School Based & After School Program at MS 136/821

Center for Family Life Beacon & After School Program at PS 1

CW - 465 1374 - Center for Family Life- Adult Employment

CW - 465 1373- Canarsie IRA-II

CW - 465 1372- Canarsie IRA

CW - 465 1371- Bronx Family Bassed Treatment Center

CW - 465 1381 - Center for Family Life= Foster Care

Tuesday, August 04, 2015 Page 7 of 21

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CW - 465 1369- Brooklyn Family Based Treatment

CW - 465 1382 - Center for Family Life- Prevention

CW - 465 1367- Bridges to Health-LI

CW - 465 1366- Bob's Place

CW - 465 1365- Bethany II- Group Residence

CW - 465 1364- Bethany I- Group Residence

CW - 465 1363- Baby & Me

CW - 465 1362- Baby & Me

CW - 465 1361- Baby & Me

CW - 465 1359- AOBH Program (JJ proposed)

Tuesday, August 04, 2015 Page 8 of 21

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CW - 465 1357 - 204th Street IRA

CW - 465 1355- 201st Street IRA

CW - 465 1370- Bronx Arena High School

CW - 465 1393- Drop In Center

CW - 465 1405 - Families for Teens

CW - 465 1404- Extraordinary Needs

CW - 465 1403- Extraordinary Needs- AOBH

CW - 465 1402- Extraordinary Needs- AOBH

CW - 465 1401- Extraordinary Needs- AOBH

CW - 465 1400- Extraordinary Needs AOBH

Tuesday, August 04, 2015 Page 9 of 21

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CW - 465 1399 - El Camino Inn (Shelter)

CW - 465 1398- Easy Northport IRA

CW - 465 1397- East Massapequa IRA

CW - 465 1396- East Brooklyn Community High School

CW - 465 1380 - Center for Family Life- Co-op Business Development

CW - 465 1394- Early Head Start

CW - 465 1475- Independence Inn II

CW - 465 1392- Dotty's House

CW - 465 1391- Delta Manor (Shelter)

CW - 465 1390- Crisis and Planned Respite

Tuesday, August 04, 2015 Page 10 of 21

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CW - 465 1389- Crotona Inn (Shelter)

CW - 465 1388 - Coram House (IRA)

CW - 465 1387- Coram IRA (Shady Lane)

CW - 465 1386- Community Hablitation

CW - 465 1385- The Christopher School

CW - 465 1384- Children's Blended Case Management

CW -

CW -

465

465

1383 -

1395-

Center for Family Life- Sunset Park High School: Advisory & Life Lines

Early Head Start

CW - 465 1583- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1568 - Rose Pelletier Center

Tuesday, August 04, 2015 Page 11 of 21

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CW - 465 1598- Shining Point Community Residence

CW - 465 1597- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1595- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1594- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1593- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1592- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1590- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1588- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1586- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1601- Specialized Prevention- Medicaid/DD

Tuesday, August 04, 2015 Page 12 of 21

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CW - 465 1584- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1603- Specialized Prevention- Medicaid/DD

CW - 465 1582- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1581- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1580- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1579- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1578- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1577- Scattered Site Supportive Housing Program (SSSHP)

CW - 465 1574- Scarttered Site Supportive Housing Program (SSSHP)

CW - 465 1572- Scattered Site Supportive Housing Program (SSSHP)

Tuesday, August 04, 2015 Page 13 of 21

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CW - 465 1571- Scattered Site Supportive Program (SSSHP)

CW - 465 1471 - I CAN Community Reesidence

CW - 465 1585- Scattered Site Support Housing Program (SSSHP)

CW - 465 1624- Westbrook Preparatory School

CW - 465 5537- Morris Koppelman Center

CW - 465 5536- Jerome Hardeman Center

CW - 465 5361 - Close to Home

CW - 465 5360 - Close to Home

CW - 465 5359 - Close to Home

CW - 465 5358- IRA Apartment

Tuesday, August 04, 2015 Page 14 of 21

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CW - 465 5390- SSSHP Apartments

CW - 465 5389 - Close to Home-Omega

CW - 465 5388- SSSHP Apartments

CW - 465 5387 - Close to Home

CW - 465 1599- Silent Partner Program

CW - 465 5385 - Close to Home-Alpha

CW - 465 1567 - Robert J. McMahon Children's Center (RTC)

CW - 465 1622- Tyree Learning Center

CW - 465 1621- Theresa Paplin School

CW - 465 1620 - Therapeutic Foster Care

Tuesday, August 04, 2015 Page 15 of 21

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CW - 465 1618 - Therapeutic Foster Care

CW - 465 1615 - Therapeutic Foster Care

CW - 465 1614 - Therapeutic Care Program

CW - 465 1612- Supported SRO

CW - 465 1610- Strathmore IRA

CW - 465 1607- Stockholm Family Residence (Shelter)

CW - 465 1605- St. Joseph Residence

CW - 465 5386 - Close to Home

CW - 465 1495- Juvenile Justice Initiative

CW - 465 1570- Scattered Site Supportive Program (SSSHP)

Tuesday, August 04, 2015 Page 16 of 21

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CW - 465 1506- Medicaid Service Coordination

CW - 465 1505- Madonna Heights School

CW - 465 1504 - Madonna Heights- Residential Treatment Facility

CW - 465 1503- Madonna Heights- Morning Star II

CW - 465 1502- Madonna Heights- Morning Start 1

CW -

CW -

465

465

1501-

1500-

Madonna Heights- Hard-to-Place Residential Treatment Center

Madonna Heights- Gatehouse

CW - 465 1499 - Madonna Heights- Family Service Clinic

CW - 465 1498 - Lindenhurst IRA

CW - 465 1508- North Queens Community High School

Tuesday, August 04, 2015 Page 17 of 21

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CW - 465 1496- Junvenile Justice AOBH (proposed)

CW - 465 1509- Nurse-Family Partnership

CW - 465 1494- Juvenile Justice Initiative

CW - 465 1493- Janet Lane IRA

CW - 465 1492- Jamaica ICF

CW - 465 1491- ISS Grant Apartments

CW - 465 1485- IRA Apartment

CW - 465 1484- IRA Apartment

CW - 465 1482- IRA Apartment

CW - 465 1481- IRA Apartment

Tuesday, August 04, 2015 Page 18 of 21

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CW - 465 1479- Independence Inn IV

CW - 465 1477- Independence Inn III

CW - 465 1497- Kew Gardens ICF

CW - 465 1539- Preparing Youth for Adulthood

CW - 465 1565- Ridge IRA

CW - 465 1562 - Richmond Hill ICF

CW - 465 1561 - The Renaissance (Shelter)

CW - 465 1557- RAP Unit

CW - 465 1556- RAP Unit

CW - 465 1553 - Queens Family Based Treatment Center

Tuesday, August 04, 2015 Page 19 of 21

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CW - 465 1551- Preparing Youth for Adulthood

CW - 465 1548- Preparing Youth for Adulthood

CW - 465 1546- Preparing Youth for Adulthood

CW - 465 1544- Preparing Youth for Adulthood

CW - 465 1507- Nadel Court Residence

CW - 465 1540- Preparing Youth for Adulthood

CW - 465 5538- Shirley Chisolm Center

CW - 465 1533- Permanency Plus

CW - 465 1530- Permanency Plus

CW - 465 1527- Parent-Child Home Program

Tuesday, August 04, 2015 Page 20 of 21

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CW - 465 1525- Parent-Child Home Program

CW - 465 1523- Parent-Child Home Program

CW - 465 1521- Preparing Youth for Adulthood

CW - 465 1519 - Peconic Heights

CW - 465 1518- Our Place Community Residence

CW - 465 1515- Ottilie Campus

CW - 465 1511 - Nurse- Family Partnership

CW - 465 1542- Preparing Youth for Adulthood

Tuesday, August 04, 2015 Page 21 of 21