Your NNESAM Officers

Clifton “Fred” Lord, M.D.,FASAM, NNESAM President

Dr. Clifton Lord (Fred) is Medical Director of Connecticut Valley Recovery Services in
Windsor, VT and the Acadia Health Comprehensive Treatment Center/ Opioid
Treatment Program in West Lebanon, NH. A 1978 graduate of the University of
Vermont (now Larner) College of Medicine, he trained in orthopedic surgery at Rhode
Island Hospital and the Massachusetts General Hospital in Boston. After a 15-year
career, he retired from active surgery and, after a brief hiatus in administration,
completed the Addiction Medicine Fellowship at the University of Florida. He returned
to Windsor in 2007 and established CT Valley Recovery Services, the precursor to the
present practice. He was a staff addictionologist at Valley Vista in Bradford VT from
2007-08. He served as site medical director for the New Hampshire opioid treatment
programs of the-then Community Substance Abuse Centers from 2012 until 2016 when
he moved to his current position at West Lebanon CTC. He has also served as medical
director for Gatehouse Treatment Center in Nashua, NH from 2014 to 2019.
Dr. Lord has been principal investigator and network/project director for several
Agency for Healthcare Research and Quality (AHRQ) and Healthcare and Rural Services
Administration (HRSA) grants dealing with health information technology and network
development in rural healthcare settings. He was the project director for a HRSA Rural
Opioid Response (RCORP) grant, to improve prevention and treatment of opioid use
disorder in Windsor County VT from 2020 to 2023. He serves as a preceptor for
Addiction Psychiatry Fellows at the Geisel School of Medicine, where he is Clinical
Assistant Professor of Psychiatry. He is also a preceptor and Adjunct Faculty for the
Master of Physician Assistant Studies program at Franklin Pierce University. He is
currently President of the Northern New England Society of Addiction Medicine. Fred
lives in Dorchester, NH with his wife Diane and their two beagles, Barney, and Dudley.

Graciela Sironich-Kalkan, M.D., NNESAM Secretary

Dr. Sironich-Kalkan earned her M.D. from Universidad de Buenos Aires, Argentina, where she trained in Internal Medicine/Critical Care. She integrated the Board of Argentine Critical Care Society and was a founder of Parenteral and Enteral Nutrition Association. She worked in the Navy Hospital Critical Care Area, and was also a member of the Infectious Diseases Committee. She is fully licensed in the State of New Hampshire. 

She joined The Doctor’s Office practice in Manchester in 2011, and in 2012 she joined Harbor Care Health and Wellness Center in Nashua. When the opioid epidemic arose in 2014, she initiated the Medication Assisted Treatment (MAT) program that has been thriving ever since. She worked closely with the Safe Station program in 2016, she was overseeing respite care admitting patients who needed withdrawal management and looking for treatment for opioid use disorders. Dr. Sironich-Kalkan considers each patient unique, with their own strengths and challenges. She ensures a supportive and compassionate interdisciplinary team is ready to work with them to improve their lives. 

After being nominated by Harbor Care staff for making a difference in the lives of the people of Greater Nashua as the opioid crisis gripped the state, Dr. Sironich-Kalkan was named one of 20 Outstanding Women in 2017 by WZID.  Her hobbies include travel, reading, theater, and cooking. She is fluent in English and Spanish. In her spare time, she has taught Spanish and English CPR/AED and First Aid for adults, children and infants at the American Red Cross Massachusetts Bay Chapter. She has also volunteered in Argentina’s Spanish Hospital as Physician in the ER and Oncology Department, and as a student at the Psychiatric Hospital Jose A. Estevez. Dr. Sironich-Kalkan volunteered at the Red Cross Nashua Chapter and the American Cancer Society. She has served as Secretary of the Governor’s Advisory Commission on Latino Affairs since 2010.