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Kristin O'Rourke, LCSW

Owner, Child and Family Therapist 

Kristin O'Rourke graduated in 2005 from New York University with her Masters degree in Social Work and is now a New York State licensed Clinical Social Worker and certified School Social Worker. She has over 15 years of experience working with children and their families in various therapeutic settings. Kristin has worked as a home based Behavioral Specialist, a private child and family therapist and was employed for seven years as a NYC School Social Worker. She has extensive experience working with children and adolescents with anxiety disorders, depression, ADHD, anger management issues, emotional disturbances and behavioral disorders such as Oppositional Defiance Disorder and Conduct Disorder. In her newest venture, Kristin has published her first children's book, There's a Bully in My Brain, for children struggling with anxiety, fear and feelings of self-doubt. Click here for more details.

In 2013, after the birth of her second child, Kristin left her job as school Social Worker, opened In-Home LCSW, PLLC and began offering services to children and families in Rockland County. She quickly learned that there was a great local need for mental health services and decided to hire more clinicians to better support families in the county. In the fall of 2016, In-Home LCSW began offering office based services as well.

Kristin utilizes various treatment modalities in her sessions but follows a cognitive behavioral and solutions focused approach with most of her clients. She is warm, kind and compassionate and works very hard to create therapeutic relationships in which children and their families feel comfortable, safe and respected. Kristin believes in involving parents greatly in the therapeutic process. She maintains ongoing communication with parents through email, phone calls and face to face meetings. She believes that a child will truly be successful in therapy if the whole family is supportive and involved.


Pamela Kromar, LCSW

Child and Family Therapist

Pamela Kromar received her Master’s Degree from Fordham University’s  Social Work Program and has over 13 years of therapy and social work experience, with which she has helped others successfully cope with stresses in their daily lives.  Throughout her career, Pamela has worked with children, teens, adults, and families, and has been able to implement a solution based approach that has empowered her clients to reach their fullest potential. Pamela has worked in a multitude of different clinical environments, from hospitals to patient’s residential homes. She has successfully treated patients with various diagnosis' such as depression, anxiety, grief and loss, Obsessive Compulsive Disorder, ADHD and Oppositional Defiance Disorder. 

Pam believes that the key goal for every patient’s relationship is the development of a mutual trust between therapist and individual. With her wealth of experience and empathy for others, she is able to work closely with children and their families to create a customized treatment plan in order to reach their desired goals.

Gail Cirlin-Lazerus, LMSW

Child and Family Therapist, Postpartum Specialist

Gail Cirlin-Lazerus is a Licensed Master Social Worker and a Certified School Social Worker who received her Masters degree from California State University, Long Beach in 2003.  She has over 13 years of experience in various community mental health settings, including an outpatient center for adults who were homeless and chronically mentally ill, a county mental health center for children and adolescents, various settings for individuals with developmental disabilities, and a perinatal substance abuse treatment center for mothers and their children. Gail specializes in anxiety and behavioral issues in young children and is the early childhood supervisor at In-Home LCSW.

 In addition to her clinical social work experience, Gail is also a DONA Certified Birth Doula, Lamaze Certified Childbirth Educator and Certified Lactation Counselor. Gail specializes in perinatal and postpartum issues, particularly postpartum depression and anxiety.  Because of her dual passions of social work and all things birth related, she has advanced knowledge in babies, development, baby care, parenting, and parental issues as well.

Gail utilizes a strengths based, solution focused approach to support and empower her clients to reach their potential. Gail’s experiences, as well as her warmth and empathy, will assist families and individuals to reach their goals.

Anne Ferrara, LMSW

Child and Family Therapist

Anne Ferrara graduated with a Bachelor’s Degree in Social Work from Siena College in 2006, at which time she began her graduate program at SUNY Albany and received her Master’s Degree in Social Work. Anne is a licensed social worker with 9 years of experience in working with children and families in various clinical settings.  Anne’s experience includes in home prevention services in New York City, in-home therapeutic services for children and adolescents involved in the child welfare system in Connecticut, and most recently clinically supporting adolescents in an after school setting. Throughout her time working in these various settings, Anne has developed the ability to understand the importance of supporting not just the child, but the family as a whole.

Anne has extensive experience working with children and youth demonstrating behavioral and/or social-emotional difficulties including, but not limited to, Depression, Anxiety, Attachment issues, and those with a history of trauma.  She has significant experience in family treatment and providing psycho-education to the parent and family members involved in the therapeutic process.  Anne values the importance of using a strengths based approach and works to quickly build trust with her clients to provide the support needed to fulfill their goals. 

Nicol Zambrano, LMHC

Child and Family Therapist

Nicol Zambrano graduated from Manhattan College with her Master’s Degree in Counseling (2007) and went on to get her Professional Diploma in Mental Health Counseling. She has 14 years of experience working with children, teens and adults in various therapeutic settings. Nicol was employed for 11 years as a School Counselor, first in a public high school and then at The Windward School in White Plains. In addition to In-Home LCSW, Nicol also provides treatment for young adults in Manhattan College's counseling center.

Nicol’s therapeutic approach is humanistic and cognitive-behavioral. She has extensive experience working with children experiencing anxiety, depression, behavioral and social-emotional difficulties. For many years, Nicol supported students diagnosed with language based learning disabilities and ADHD, helping them to discover their personal strengths and become self-advocates. Nicol also works with individuals who have experienced loss, walking beside them in their grief and addressing the trauma they have experienced. She practices mindful meditation and utilizes mindfulness techniques with her clients.

Michelle Caruso, LMSW

Child and Family Therapist

Michelle graduated with a bachelors degree in Social Work from Dominican College and went on to get her Masters degree in Social Work from New York University. She is an LMSW whose experience includes working with adolescents and their families in a school based setting, where she provided individual and group counseling services. Michelle focused on self esteem building and maintaining positive relationships amongst family and peers.

Michelle has worked with individuals with developmental disabilities, stroke rehab patients and in preventative services. Her warm and down to earth nature allow her to quickly build trust with children and their families. She follows a strengths based and solutions focused approach with her clients.


Kelly Wallace, LCSW

Child and Family Therapist

Kelly Wallace graduated in 2002 from the University at Albany with her Masters degree in Social Work.  She is now a Licensed Clinical Social Worker and a Certified School Social Worker.  She is currently an elementary school social worker serving children and their families and helping with issues such as anxiety disorders, ADHD, Autism Spectrum Disorders, depression, adjustment disorders, anger management and behavioral disorders.  She works with children individually and in group settings to increase self-esteem, improve social skills and develop effective coping strategies.  

In her 15 years of social work experience she has worked with many families and children in various settings such as Early Intervention and hospital based social work where she provided counseling, support and case management services to Spinal Cord Injured patients and those who have suffered Traumatic Brain Injuries.  She has also provided home care social work services to patients in need of community-based services. 

 Kelly utilizes various treatment modalities, but follows a Strengths Based, Solution Focused approach utilizing Cognitive Behavioral techniques to help clients reach and exceed their goals.  She is most concerned with honoring the needs of her clients and developing goals that will empower children and their families to develop health coping strategies and utilize their strengths to make changes that will enhance their lives.  

Marisa Kuropatkin, LMHC

Child and Family Therapist

Marisa Kuropatkin received her master’s degree in Mental Health Counseling from Long Island University and is now a Licensed Mental Health Counselor.  Marisa has over 15 years experience working with children and adults in various therapeutic settings.  In addition to In-Home LCSW, Marisa has been an employee for United Hospice of Rockland for 8 years and is currently the Director of Bereavement services.  In this role Marisa works with children, families and adults as they navigate the grieving process before and after the death of a loved one.  Marisa works with community organizations, providing education on grief and crisis interventions when necessary. Marisa is also a therapeutic horseback riding instructor, working with children and adults who have various abilities in order to achieve a skill set necessary to ride a horse. 

Marisa utilizes a variety of treatment modalities, which best suite the needs of her clients, in order to reach their treatment goals.  Marisa believes in the importance of parent education and family involvement throughout the therapeutic process.  Marisa’s empathy, knowledge and experience allows the client to feel supported as they work to achieve their goals and reach their fullest potential.