Pediatric Partners, with the assistance of Rocky Mountain Health Plans, has started an Integrated Behavioral Health program within our office. We have 3 Behavioral Health providers who are present in the office Monday-Friday. They will be able to provide targeted intervention for common behavioral and developmental challenges such as potty training, tantrums, or bedtime; they can help with management of chronic medical conditions, including adherence to treatment; assist with parental transitions (post-partum depression, returning to work, divorce); and they will serve in a critical manner to help with the interface of school and community mental health programs with the medical home.


Specializing in Support and Community Referrals

• Potty Training

• Academic Challenges

• Developmental Delay

• Anxiety

• Sleep Concerns

• Depression

• Post-Partum Adjustment and Depression 


Family Advocates at Pediatric Partners serve many roles for families, including helping to schedule follow-up appointments, helping families navigate our patient portal, processing referral and prior authorizations with insurance, and helping families prepare for appointments that are more complex.

LeAnn R. Shaw, MA LMFT

LeAnn is a licensed Marriage & Family Therapist who has been in practice since 2006.  She obtained her degree from Southern Nazarene University in Tulsa Ok and worked on a mobile crisis unit called COPES for four years that is nationally recognized as cutting edge therapy intervention services.  She has spent over 10 years doing crisis work where she would work with first responders to help de-escalate people facing mental health emergencies and help them create a stabilization plan or hospitalization as needed.   She is certified in Crisis Debriefing (CISM) and volunteers for the Interface CISM team serving the first responders of LaPlata County for the past four years.  She is certified in QPR which is a nationally certified suicide prevention program for youth and adults all over the four corners.  She Is certified in EMDR and CBT therapy practices.  As a Behavior Health Consultant she uses her extensive knowledge of community resources, developmental and mental health programs to help support families and patients. 



Annie Holmes, MSW

Annie is a social worker who believes that by developing deeper bonds and instilling beliefs in our unique identities, we can be our fullest selves. She knows that this happens within communities, which led her to study and work in integrated care settings where a team approach is the priority. Annie has an eclectic therapeutic style that includes various treatment modalities including Brainspotting, Dialectical Behavioral Therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and Crisis Intervention. After completing an undergraduate degree at UNC-Chapel Hill in psychology, she worked as an outdoor educator with various organizations and as a case manager at an acute treatment psychiatric unit. She finds solace and connection in the outdoors where she enjoys spending time adventuring and being in our beautiful neighborhood. She also loves cooking and eating with her community.


Shayla Williams, MSW

Shayla was born and raised right here in Durango. She graduated from Fort Lewis College with a Bachelors in Psychology. She then worked through the University of Denver GSSW Four Corners program and graduated with her MSW. While going through school, Shayla coached Gymnastics and was able to build strong relationships with many of the families in and around Durango. Shayla is now on the path to becoming a Licensed Clinical Social Worker. Shayla has a passion for helping and empowering children through their struggles and uncertainties, in order to help them grow and become resilient. Her therapeutic styles are strengths based, CBT, motivational interviewing and mindfulness techniques. Outside of the office you can find Shayla riding horses, training dogs and enjoying time at the lake. 

Alejandra Hernandez-Lozano, Family Advocate

Alejandra was raised in Durango, after graduating High School she moved to Arizona to pursue her undergraduate career.  She attended Northern Arizona University, obtaining her bachelors in Public Health. She has a great passion for helping improve the well-being and researching health conditions within communities. Shortly after moving back from NAU she became a part of the PPSW team as a Family Advocate, including the Durango High School School Based Health Clinic.  Alejandra loves the work she is doing, and enjoys giving back to the community she grew up in.  Alejandra hopes to enhance her knowledge and skills in Public Health, she is currently enrolled in the Master of Public Health Program with Grand Canyon University. Alejandra enjoys spending time with her friends and family.



Mikinzi Stiedle, Family Advocate

Mikinzi was raised in Austin, TX and after graduating High School in 2014 she attended the University of North Texas, obtaining her bachelor’s in International Business and Cultural & Social Anthropology. She moved to Durango during her last semester of school and joined the PPSW team in February of 2020 as a Family Advocate and Medical Records/Referrals specialist. When Mikinzi is not working she enjoys hiking with her boyfriend and their two dogs, watching comedy stand-ups and movies, and spending time with her family. Mikinzi loves all human beings but enjoys working with kids the most.



Amber Richardson, Family Advocate

Amber was born in San Antonio Texas, and moved to Colorado in her middle school years. She graduated from Fort Lewis College with a Psychology degree and has always enjoyed working with children. She met her husband here in Durango and now has a son and a teenage foster daughter who she met through Pediatric Partners. She shares her love for children by working here at PPSW as one of our Family Advocates and in Medical Records/Referrals. When Amber isn’t working she enjoys going to the lake with her family, snowmobiling and watching football (GO Steelers!).

Amber provides patient and family care supports, pre-authorizations and referral processing for specialty services. Amber provides care coordination and support's families tele-medicine access. 

Mandy Temple, Family Advocate

Mandy was born and raised in Monument, CO and moved to Durango just after high school to attend Fort Lewis College. She received her degree in Business Administration from the University of Colorado in Colorado Springs, then moved back to Durango and began working with toddlers. While teaching and caring for young children at the pre-school, Mandy became very interested in early childhood development. She is now excited about her role as one of our Family Advocates where she can help children of all ages and their families. In her free time, Mandy enjoys spending time with her husband fly fishing, hiking, paddle boarding, camping and snowboarding.

Mandy will be primarily located at the Durango High School School Based Health Clinic beginning July 2019. 



Tiffany Rymerson, Family Advocate

Tiffany is a fifth-generation, born and raised, Durango native. She grew up playing sports, being an active member of a 4H club, hunting, and fishing. Tiffany is currently pursuing her degree in Legal Support and Services from Purdue University Global with the goal of being a paralegal when she graduates. Tiffany has worked in retail, daycare, student teaching, and customer service since graduating from Durango High School in 2012. Using her passion for helping other, she has joined the team at PPSW as a Front Desk Associate and a Family Advocate. She uses her love for children and community to help families with scheduling, coordinating care and supporting others. In her spare time, you will find Tiffany hiking, rafting, camping with her husband, watching crime shows or obsessing over otters!



Main Clinic (Horse Gulch)

Monday - Friday

8:00 am – 5:00 pm

Saturday Clinic

9:00 am – 12:00 pm 

Bayfield Clinic

Monday - Friday

9:00 am – 5:00 pm

Durango High School

Monday - Friday

8:30 am – 4:30 pm

(hours vary during the summer and holidays)

After hours nurse on call:


© 2018 by PPSW

Contact us for more information:

Telephone: 970-375-0100

Fax: 970-375-9210


Horse Gulch Health Campus

810 E 3rd St #301

Durango, CO 81301

Satellite Offices:

Silverton Public Schools
1160 Snowden St 

Silverton, CO 81433

Bayfield Schools
658 S East St 

Bayfield, CO 81122

Durango High School
School-Based Health Center

2390 Main Ave

Durango, CO 81301

Your PPSW Providers: 
Kim Caruso MD 
Cecile Fraley MD 
Brenda Huffman  MD
Amy Hurley MD

Lisa Isenberg PNP 
Aimee Jacoby PA-C
Betsy Kastak PNP 
David MacLaurin MD 

Jessica Marsh MD
Heidi McMillan MD

Kelly Miller MD 
Savannah Porter PA-C

Amanda Singh, PNP

Our Integrated Behavioral Health Providers:
LeAnn Shaw, MA LMFT

Shayla Williams, MSW

Anne Holmes, MSW

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