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San Francisco, CA · Private pay · Online

Therapist in San Francisco, private pay, online.

Martha Fernandez, LCSW, sees clients across San Francisco by secure video, in English or Spanish, and bills no insurance. Financial District to Pacific Heights: therapy that never shows up on a company benefit report.

Clients log in fromFinancial District · SoMa · Mission Bay · Pacific Heights · Marina · Noe Valley · Russian Hill · Presidio Heights · Hayes Valley · the Mission

32.2 minaverage one-way commute in San Francisco. 24.8% of commuters spend 45 minutes or more each way.
0minutes in Bay Bridge traffic for a session with Martha. Secure video, anywhere in California.

Census: ACS 2024 1-year, tables B08013 and B08303

Who she sees here

For the people San Francisco runs on.

Founders

Founders from SoMa to Mission Bay, answering to a board and a team that both need them to be fine.

64%of founders in her review hid strain from investors or their board.
Read the summary

Tech leaders

Engineering and product leaders whose company plan would see every claim, and who would rather it saw none.

88%of high achievers in her review said success made them lonelier.
Read the white paper

Finance

Partners and principals in the Financial District, where wealth is visible and the strain behind it is not.

63%of high-net-worth clients in her review said success increased isolation.
Read the white paper

Medicine

Physicians at UCSF and the city's medical groups, where credentialing forms come back every renewal cycle.

61%of physicians in her review delayed therapy over licensing or credentialing fears.
Why physicians wait

En español

Terapeuta en español en San Francisco.

En San Francisco, el 11.2% de las personas habla español en casa. Para quien piensa en español, Martha atiende con la misma profundidad clínica que en inglés.

Trabajadora social clínica licenciada en California, atiende por video seguro y no factura a ningún seguro. Su primera sesión puede ser esta semana.

Leer el sitio en español

San Francisco FAQ

Questions from San Francisco clients.

Is there an office in San Francisco?

No. Every session is by secure video from anywhere in California, so there is no trip across the city and no waiting room.

Will my employer or its health plan see anything?

No. Nothing is billed to insurance or an employer program, so there is no claim, no benefits report and no diagnosis code sent to a payer.

Can I use equity or company money to pay?

You pay directly through the booking system. How you fund it is up to you; nothing is invoiced to a company.

Why $400 when my plan covers therapy?

Your plan pays for a therapist in its network, with a claim on file. $400 buys Martha herself, every session, with no claim and no waitlist.

If it can't wait for a session

Call or text 988, or San Francisco Suicide Prevention, 24/7.

Martha's practice is not a crisis service. Both lines are free and answered around the clock. In an emergency, call 911.

Elsewhere in California

Other places she sees clients.

Fees, with context

What $400 actually buys.

One fee for everyone, private pay only, the first session and every one after. Here is what is in it.

$400Individual · 50 min
$450Couples · 50 min
  1. 01

    Martha, every session

    The clinical co-founder of a private-pay network, and the only clinician in this practice. The person you book is the person you see, never an associate.

  2. 02

    Nothing filed

    No insurer and no diagnosis code sent to a payer, so there is nothing an employer, a studio or a licensing board can request from one.

  3. 03

    Either language

    Fully clinical in English and Spanish, with the same depth in both, switching whenever you do.

  4. 04

    This week

    Her calendar is open now. No consultation call, no waitlist, no referral needed.

Your first session can be this week.

Pick a time on Martha's calendar. Private pay, secure video, anywhere in California, in English or Spanish.

Book your first session No consultation call. No waitlist.

Private pay. No insurance billed.

Martha Fernandez, LCSWCalifornia license 127918

Book your first session.

Tell us a little about you, then pick a time on Martha's calendar.

During sessions you will be in
The session is for
Language

Contact the practice

Questions before you book?

Most are answered here.

What does it cost?

$400 for an individual session and $450 for a couples session, 50 minutes by secure video. Private pay only.

Do you take insurance or give superbills?

No. Nothing is billed to an insurer and no superbills are issued, so no diagnosis goes to a payer.

How soon can I start?

First sessions open this week. There is no consultation call: you choose a time and book directly. Book your first session

I live outside California.

Martha is licensed in California only. CEREVITY, the network she co-founded, sees clients in every state. Find a clinician in your state

Still have a question?

Scheduling and practice questions only. Please leave out health details; those belong in session.300 left

Not for emergencies. If you are in crisis, call or text 988, or call 911.

Fees

Two fees, stated plainly.

SessionFee
Individual session
50 minutes by secure video
$400
Couples session
50 minutes by secure video
$450

You see Martha herself, every session, never an associate. Private pay only: no insurance billed and no superbills issued.