Who We Are

St. James Infirmary is a peer-based non-profit 501(c)3 organization serving Sex Workers throughout the San Francisco Bay Area. We are the first occupational health and safety clinic in the U.S. run by Sex Workers for Sex Workers!

Our History

St. James Infirmary was made possible because of the unique vision of Sex Worker rights activists from COYOTE (Call Off Your Old Tired Ethics) and the Exotic Dancers Alliance (EDA), and a timely event in the San Francisco County Jail.

In the late 90s, a local woman arrested for soliciting in San Francisco had her blood drawn in the jail without her consent and was not informed as to the nature of the test. Feeling violated, she called COYOTE for support. COYOTE and EDA members suggested to the San Francisco Department of Public Health STD Control and Prevention Section (also known as “City Clinic) that there was a much more efficient and compassionate way to address Sex Worker Health – creating St. James Infirmary. Our clinic is named after our honored Margo St. James—the sex worker, feminist, and activist who founded COYOTE in the early 70’s.

In June of 1999, COYOTE, EDA, and the SFDPH opened St. James Infirmary. Since then, St. James Infirmary has served thousands of Sex Workers and their partners. Each year we provide:

  •      ~1,000 medical services to over 300 unduplicated Sex Workers;
  •      ~2,500 contacts in our syringe distribution & collection program;
  •      ~ 3,000 street and venue based outreach contacts;
  •      Peer education and training workshops to over 250 Sex Workers.

We also provide presentations on sex work and harm reduction approaches to working with the vibrant and diverse Sex Worker community for medical and social service providers in the Bay Area. If you are interested in having us come to your agency and provide staff trainings, please contact us.


Our Staff and Board

Executive Management Team
Toni Newman, Executive Director
Dr. Pratima Gupta, Medical Director
Charles Cloniger, MS, FNP, Clinical Director; Co-Founder
Pike Long, MPH, Deputy Director
Mae-Mae Taylor, Chief Financial Officer, Enrolled Agent
Anita O’Shea, Executive Assistant & Facilities Manager
Cary Escovedo, HIV Services Manager
James Martinez, Development Officer

Board of Directors
Dr. alexandra lutnick, Chair
Patsy Chan, Treasurer
Margine Sako, Secretary
Joanna Berton Martinez, MPH
Kelli Dorsey
Elizabeth Faber RN, FNP


Advisory Board (SJI Founders)
Johanna Breyer, Chair
Margo St. James
Carol Stuart
Dawn Passar
Dr. Jeffrey Klausner
Dr. Deborah Cohan


Core Staff
Sam Formo, NEX Coordinator, D-SINE Instructor & Hep C Navigation Coordinator
Celestina Pearl, LVN, Outreach Coordinator; Triage Nurse
Celia Roberts, Administrative Coordinator
Brianna Singleton, RN, PHN, MPH, Lead Clinician
Carmen Alicia, LVN
Amber Rose, CPT-1, Phlebotomist
Corrie Varga, LMFT, Mental Health Coordinator
Raul Hernandez, Community Engagement Coordinator
Juba Kalamka, Linkage to Care Navigator, HIV Services
Lissette Sanchez, Facilitator of Mujeres en Accion
Sylvia Agliana, Harm Reduction Counselor
Natasha Tansey, STRIDE Counselor; Harm Reduction Counselor
Tihani Ko, STRIDE Counselor; Harm Reduction Counselor
Andi Guernay, Outreach Worker
Vadan Ritter, Acupuncturist and Massage Practitioner
Richard Wells, Syringe Access Program Assistant
Ida Belisle, Registration Coordinator; Harm Reduction Counselor
Daniel Wilson, Community Harm Reduction Representative



maro st. j

Our Community

Sex Workers (current or former) of all genders and sexual orientations, their current partner(s), and their children (Medical Services for Adolescent and above only) are eligible for free and confidential services. Our community members are:

  • Street and Survival Sex Workers,
  • Escorts and Personal Companions,
  • Massage and Body Work Providers,
  • BDSM workers:  Pro-Dommes, Subs, and Switches,
  • Adult Film Actors; Porn Models/Performers; Nude Models,
  • Sexological Bodyworkers and Surrogates,
  • Exotic Dancers; Strippers; and Peep Show Workers,
  • Phone Sex Operators and WebCam Performers,
  • And many other Sex Workers and Adult Entertainers!