Our mission is to provide respectful, comprehensive primary health care for all residents in our region, regardless of their ability to pay. We offer quality health care services to everyone. In the spirit of community, we make efforts to reach out and welcome those who need health services, but may have insufficient means to access them. We commit ourselves to continually reduce the burden of illness, injury, and disability, and to improve the health and quality of life of those for whom we care.

Wells River

Wells River Providers

LRHC believes in a team approach, with the patient as the most valuable player
All of our providers, nurses, care coordinators, service representatives, medical records specialists, billers, and managers, work together to assure top-quality care, delivered at reasonable cost, and always with kindness and respect.
65 Main St, Wells River, VT | 802-757-2325

SIMONE LESSAC-CHENEN,  MD, DipABLM (she/her)

Chief Medical Officer, Family Medicine with Obstetrics

“Dr. Simone” came to Little Rivers after completing medical school at SUNY Downstate and her residency at Providence Milwaukie Hospital in Portland, OR, where she was chief resident. Providing full spectrum care for everyone in the community is what draws Dr Simone to family practice. Keeping care in the community and working to remove barriers to care that the systems we must work within create is integral to supporting the health of patients and our community. She values the creativity of Little Rivers that recognizes these needs, creating the MAT program, continued Obstetric care, integrated Behavioral Healthcare, Psychiatric care, and soon, Dental care. The work of the care coordinators supports her as a physician and each patient with their non-medical needs. Meeting a patient where they are and working with them to achieve optimal health is her goal. 

STEPHEN GENEREAUX, MD

Medical Recruitment Director, Family Medicine w/Obstetrics

The continuity of caring for a patient from birth through adulthood is one of the hallmarks of family medicine that drew Genereaux, Vermont’s 2018 Family Physician of the Year, to the specialty. He’s been working at this community clinic for 25 years, a job that’s granted him “front row seats to the highs and lows in people’s lives.”

As an undergraduate, Genereaux glimpsed two contrasting views of healthcare through summer internships: first, he shadowed an orthopedist at a large hospital in New York City; later, he worked with Brewster Martin, MD, a family physician with a solo practice in rural Chelsea, Vermont. “Brewster was a classic country doctor,” Genereaux says. “Seeing the breadth and variety in his practice, and the way he fit into the community, spurred my interest in family medicine.”

That interest grew during his time at Dartmouth Medical School, especially after a third-year family medicine rotation in Augusta, Maine. Following residency, Genereaux spent four years at a public health center in Bethel, Alaska. Then he stumbled on the opportunity to work at Little Rivers.

Little Rivers is a Federally Qualified Health Center, providing primary care to all residents in the region, regardless of ability to pay. In addition to physicians and nurses, its staff includes behavioral health clinicians and care coordinators who help patients maintain their health and well-being. The clinic also welcomes first- and second-year Geisel students completing their On Doctoring course, as well as third- and fourth-year students on their family medicine rotations. “Watching us do what we do and our role in the community—that’s something you don’t usually get taught in med school,” says Genereaux.

It’s their role in the community that inspired Genereaux and his colleagues to begin the MAT program. “Three years ago we had three overdose deaths among local residents,” he says. “People have realized that the recovering population is us—our cousins, our aunts, our nephews.”

Living and working among underserved, rural neighbors, Genereaux is committed to eliminating barriers to care. Along with Geisel students, he visits seasonal agricultural workers at their farms. In the future, he wants to explore more ways to take healthcare services out of the clinic and into the community, like doing blood-pressure checks at the town dump.

“Family physicians aren’t just doctors,” Genereaux says. “We have to be leaders and role models.” He stresses that the caregivers at Little Rivers are “accessible, approachable, available, and accountable”

FAY HOMAN, MD

Medical Staff Director, Family Medicine, Pre/Postnatal Care

Dr. Fay Homan has been with Wells River Clinic since 1993. She enjoys the full scope of family medicine, from obstetric care to geriatrics. Teaching the next generation of family doctors is an important part of her practice, and you’ll often meet medical students from UVM and Dartmouth with her in Wells River. She also enjoys international medicine, and has travelled to Honduras, Kosovo and Malawi. She serves on the board of the Vermont Academy of Family Physicians and the Primary Care Advisory Group for the Green Mountain Care Board. She got her medical degree from the University of Vermont and did her Family Medicine residency in Tacoma, Washington. She has been honored as the Vermont Family Physician of the Year and as Family Medicine Teacher of the Year.

MARLENE BRISTOL, FNP

Family Medicine

GRACE KOZIK, PMHNP

Family Psychiatric Mental Health

MICHAEL BRANDLI, MS, CMHC, AAP

Michael has been working in the behavioral health and substance use treatment fields since 2007. He started providing group and individual therapy in 2011 under the licenses of his supervisors at Valley Vista’s Residential treatment program. In December of 2018, he completed his Masters in Clinical Mental Health Counseling through Southern New Hampshire University. His goal is to be dually licensed as a Clinical Mental Health Counselor (LCMHC) and Alcohol and Substance Use Counselor (LADC). Michael is a member of the New Hampshire Disaster Behavioral Response Team and the Granite State Critical Incident Debriefing Team and is an advocate for first responders’ mental health. He assists adolescents aged 16 through adults, who have been assessed with a behavioral health or substance use diagnosis.

Michael utilizes Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Narrative and Art Therapy in his treatment. He has a history of providing Qi Gong, Tai Chi, and Auricular Acupuncture during individual and group sessions, enhancing his ability to utilize mindfulness in his practices.

MARK RIZZACASA, LICSW

Behavioral Health Counselor

Mark received his Master in Social Work (MSW) degree from Florida Atlantic University in 2021. He held internships working with a variety of populations during his schooling. He provided case management and individual/group support to adults with severe and persistent mental health diagnoses in a community-based program during his foundational year. His clinical year placement was in an adult inpatient treatment center serving those with co-occurring diagnoses, with a focus on treating trauma. To better serve these clients, he was trained in EMDR. His employment during grad-school was based in group homes, building relationships with adults with developmental and learning disabilities. Post-grad, Mark spent a year working as a Primary Therapist in the adult men's residential treatment program at Valley Vista.

 

In his therapeutic approach, Mark draws heavily from the Strengths Based Perspective and Cognitive Behavioral Theory. He strives for a collaborative relationship with his clients and utilizes CBT, Solution Focused, Motivational Interviewing, and Gestalt techniques during his sessions. Mark has a special interest in mindfulness skills and is actively increasing his knowledge of ACT and DBT to use in practice. Mark obtained licensure as a Clinical Social Worker (LICSW) in 2023. He is also motivated to become an EMDR Certified Therapist through EMDRIA.

AJ JALBERT, LICSW

MSW Behavioral Health Counselor

AJ graduated from Smith College in 2006 with a bachelor’s degree in psychology and sociology. She briefly worked with adult men with severe autism in their day program and group home environments before accepting a mental health worker position on the adolescent psychiatric unit at the Brattleboro Retreat. Due to this experience AJ decided to return to school and get her MSW. She graduated in 2010 from Smith School for Social Work in Northampton, Massachusetts with a master's degree in Social Work and became a Licensed Independent Clinical Social Worker in 2013.

 

AJ’s therapeutic approach primarily focuses on Cognitive Behavioral Therapy (CBT), with an emphasis on Solution Focused Treatment (SFT).  She also utilizes other therapeutic approaches in her clinical work including Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), Trauma informed treatment, and insight-oriented therapy. Currently she is providing therapy to individuals 14 and older at LRHC clinics and local schools.

TRACY THOMPSON, LICSW, LADC (she/her)

Clinical Social Work 

Tracy completed her Masters of Social Work degree in 2005 at the University of Central Florida and became a Licensed Independent Clinical Social worker in 2009. Tracy has worked with individuals, families and groups from ages 3 through 89 in a variety of settings. Her experience includes working with individuals who experience symptoms of Anxiety, Attention Deficit Hyperactivity Disorder, Trauma and other mental health and substance use diagnoses.

Tracy utilizes a strengths perspective while incorporating multiple modalities into her sessions, including but not limited to: Cognitive Behavioral Therapy (CBT), Mindfulness, Play Therapy, and Narrative approaches, as well as Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT). Tracy became a Licensed Drug and Alcohol Counselor in 2018 and is currently training and working towards her EMDR certification.

TIFFANY WHITE, LICSW, LADC (she/her)

M.A.T. Program Coordinator, Clinical Social Work 

Tiffany is a Licensed Clinical Social Worker (LICSW) and a Licensed Alcohol and Drug Counselor (LADC) in the State of Vermont. She completed her master’s degree at the University of Vermont in Transformative Social Work. Her focus during her master’s program was centered on individuals who have experienced trauma. Her post graduate employment as a therapist, included treating individuals with co-occurring substance use and mental health disorders at the residential program Valley Vista. At Little Rivers Health Care, Tiffany currently serves as the Program Coordinator for the Medication Assisted Treatment program in addition to treating individuals in the Behavioral Health Program. 

Tiffany’s therapeutic approach is heavily based upon Cognitive Behavioral Therapy (CBT). Other modalities of her practice include, but are not limited to, Solution Focused Treatment (SFT), Mindfulness based treatment, Family Therapy, and Dialectical Behavioral Therapy (DBT). Tiffany was recently trained in Acudetox and is now offering this in both group and individual settings. She specializes in patients of all ages, but has more experience with those who are 18 and older.

AMANDA REGIS, LICSW, LADC (she/her)

Clinical Social Work

Amanda is a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Alcohol and Drug Counselor (LADC) in the State of Vermont. She received her Master in Social Work (MSW) degree at the University of New Hampshire, with special focus on family systems, addiction, and domestic violence, while volunteering as a peer advocate for the Sexual Harassment and Rape Prevention Program (SHARPP). Post-grad, Amanda spent five years working as a therapist in residential substance abuse treatment at Valley Vista, providing co-occurring substance abuse and mental health treatment on the adult women’s program, serving as the director of that program for two years. At Little Rivers Health Care, Amanda is currently providing individual and group behavioral health counseling services at the Bradford Clinic, and to students and families at Oxbow High School. 

Amanda’s therapeutic approach is primarily focused in Cognitive Behavioral Therapy (CBT), with an emphasis on Solution Focused Treatment (SFT). Other modalities include but are not limited to Mindfulness based treatment, Motivational Interviewing, and Family Therapy. She has experience working with clients of all ages, specializing in work with trauma, domestic violence, and substance abuse.
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