Valerie L. Yorker
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Valerie  holds a BS in Psychology from Penn State University, University Park, PA and MSW from Columbia University, NY, NY. She is both an IIC and IIH in the Perform Care system of care.  I provide both individual and group therapy.  The therapy services I have provided include working with the mentally ill, dual diagnosed, DDD population, ER assessments, inpatient, outpatient, partial care, RTC level of care, and incarcerated individuals. My experience includes but is not limited to the assessment and diagnosis of youth, adults and families. I have experience with developing and implement therapeutic interventions and treatment plans with goals and objectives along with education culture and recreation.


Services I provide are: discharge planning, case management services that included referring youth and families for services as needed and deemed appropriate, individual, family and group counseling. Monthly reports to the court on substance abuse/dependence progress and recommendations for continued services.

Developing and implementing programs including  but not limited to educational cultural and recreation.  


I am a Certified Clinical Supervisor with  supervisory experience in customer service.  Experienced developer working with youth and adults from both DDD and DVR, which included job placement services for the mentally ill, mentally challenged and brain injured population. Familiarity with both DDD and DYFS licensing procedures and agency policies. Experience working with juveniles incarcerated in Juvenile Justice Commission and adults incarcerated in a maximum security facility such as Rahway State Prison in NJ.  

Treatment modalities include but are not limited to : Play therapy, CBT, Solution focused therapy, therapeutic games, role playing, modeling, art therapy, music therapy and guided imagery.  I try to start where the individual is at and see what works best for them. 

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 Ailene Espiritu LAC
Director at Mackie and Pammie, LLC 

Ailene Espiritu received her Bachelors in Psychology at Montclair State University and her Master's Degree in Mental Health Counseling at Columbia University, Teacher's College. Ailene has a wide range of experience working in various work settings including outpatient and residential settings.


Ailene’s counseling style is person-centered and strengths-based that creates an open and safe space where people can feel safe exploring their thoughts and feelings without judgment. Ailene believes that every person's story is their own and with this philosophy in mind, she works with helping people to develop their own unique meaningful life skills and experiences. Ailene is diligently committed to the betterment and well-being of all those with whom she works with.

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 Irina Pravikova LPC, LCADC
Therapist at Mackie and Pammie, LLC 

The individuals that I work with, who are mostly dually diagnosed, have a variety of issues. Here are some of the most common ones: depression, anxiety, substance abuse and other addiction problems, personality disorders, behavioral issues in adolescents, suicidal ideations, codependency, self-esteem, PTSD, domestic violence, physical, sexual and emotional abuse. The individuals I work with are committed to treatment and the path of bettering themselves through utilization of a wholistic approach, such as new coping skills, meditation, mindfulness, achievement of realistic goals, treatment plan reviews, etc.

I have been treating individuals with mental health and addiction problems since 2007. The most important thing during the initial sessions for me as a therapist is to build a rapport that promotes people to feel heard, safe and accepted without judgments. I use a person centered approach along with cognitive-behavioral therapy.

Life can be difficult and hard to enjoy. It may feel like happiness and self-worth are lost in the ocean of negative emotions and constant struggles. You may feel that there is nobody out there to talk to, trust and be accepted. It doesn’t have to be this way, there is always a way out, another perspective and a chance for a different life.


 Chinyere L. Small MSW, LCSW
Therapist at Mackie and Pammie, LLC

Chinyere received her BSW from Rutgers University, New Brunswick, NJ and her MSW from NYU, New York, NY.

 Chelsea Jenkins MA, LAC, NCC
Therapist at Mackie and Pammie, LLC

Chelsea Jenkins is a Licensed Associate Counselor in New Jersey and also a Nationally Certified Counselor. Chelsea graduated in 2017 with a Master’s Degree in Clinical Mental Health Counseling from Rider University.

Chelsea began her experience at a children’s and adolescence residential home focusing on family attachment and trauma. Following her experience with residential treatment, Chelsea worked in a public school outpatient clinic working with a wide range of populations ranging from children to adults. During that time, Chelsea provided individual and family therapy for those struggling with mental health concerns related to traumatic experiences, anxiety, depression, and suicidal ideation.

Chelsea utilizes an integrated approach of trauma-informed care to provide a safe, non-judgmental environment for clients, person-centered therapy to develop a healthy and secure rapport with clients, and cognitive behavioral therapy to assist clients with adjusting unhealthy thinking patterns.

 Jaclyn Fabrizio MA, LAC
Therapist at Mackie and Pammie, LLC

Jaclyn Fabrizio is a Licensed Associate Counselor in New Jersey, she graduated
from Georgian Court University with a Master’s Degree in Clinical Mental Health

Jaclyn has experience with individuals who have struggled with varying
traumatic experiences. Including, domestic violence, physical abuse, sexual
abuse, emotional abuse, substance abuse, anxiety, depression, personality
disorders, and self-esteem in an individual and/or a group setting.

Jaclyn utilizes an eclectic approach of person centered therapy, cognitive
behavioral therapy, and mindfulness-based cognitive therapy with individuals all
while providing a safe, open, and non-judgmental environment to process and
understand your thoughts and emotions.

 Gina Karwatka MSW, LSW
Therapist at Mackie and Pammie, LLC

Gina Karwatka received her Bachelors in Social Work at West Texas A&M University and her Master's Degree in Social Work at Indiana University. Gina has a wide range of experience in various work settings including hospital rehabilitation case management, adult and youth outpatient therapeutic services, in-home therapeutic services, foster provider support, and supervision.


Gina encourages all clients with an open honest engagement in a strengths-based environment. Gina believes in meeting the clients were they are and helping them explore their options, choices, and pathways toward healing without judgment. Treatment modalities include but are not limited to: TF-CBT, Solution-Focused, Motivational Interviewing, Role-Play, and Creative Arts.

Paula Yorker CADDCT, CDCM, CDP

Christian Counselor at Mackie and Pammie, LLC

Paula is a Dementia Care Specialist has been certified as an Alzheimer's Disease and Dementia Care Trainer, Certified Dementia Care Practitioner and Certified Dementia Care Manager, through the National Council
of Certified Dementia Practitioners. Paula holds an AT, in Theology, BPL in Pastoral Leadership and MRA in Religious Arts.

Paula believes strongly in trust, nonjudgmental behavior, sensitivity to others, their needs, and listening to both the words spoken and the emotional meaning they convey. She provides individual counseling, Family Counseling, Marital Restoration through Forgiveness”, Grief and Loss Counseling, Therapeutic Communication Counseling and Emotional Biblical Support & Counseling.

The Author of "What Do You Do In The Midst Of A Suddenly" is a firm believer that listening with a compassionate heart strategically positions one to act as a counselor via short or long term to help others resolve issues by "Listening" and offering comfort in times of stress, or crisis to those that are discouraged, hurting and mourning.

Will Lane BA, BBS
Behavioral Assistant at Mackie and Pammie, LLC

Will Lane has a BA in General Studies with a concentration in Psychology from Southern New Hampshire University. Will also has a Bachelor's degree in Biblical Studies. 

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Karina Pesah
Intern at Mackie and Pammie, LLC

Karina Pesah is a graduate of Touro College where she received a Master’s in Childhood Education and is currently completing a Masters in Social Work at Western New Mexico University. Karina has a broad range of experience in working with children and adolescents, including working in Early Intervention and resource room settings for elementary to middle school age children.

Using a combination of evidence-based treatments including Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), Motivational Interviewing,  and other psychodynamic theories Karina brings empathy and warmth to every session. Karina works with her clients in identifying and highlighting their individual strengths and tailors an individual approach for each client that helps them build emotional health and resilience.