The University of the State of New York The State Education Department Office of the Professions Division of Professional Licensing Services www.op.nysed.govLicensed Clinical Social Worker Form 4B Certification.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the Form 4b Lcsw online

Filling out Form 4b Lcsw online is an essential step in the certification process for licensed clinical social workers. This guide will walk you through each section of the form to ensure your submission is complete and accurate.

Follow the steps to successfully complete Form 4b Lcsw online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In Section I, enter your social security number if applicable and your date of birth. If you do not have a U.S. social security number, leave this section blank.
  3. Provide your name exactly as it appears on your application. Make sure to fill in the telephone and email address fields clearly, noting if they are for home or business.
  4. Complete your mailing address with correct city, state, and ZIP code details. Ensure that this information is accurate and up to date.
  5. In the fields for license and degree information, enter your New York State LMSW license number, the date it was issued, the date you received your M.S.W. degree, and your registration end date.
  6. Specify your clinical supervisor's name, their qualifications, the setting where the supervised experience took place, and the setting's address.
  7. Confirm the accuracy of your information by signing and dating item 8 of the form. Ensure that you understand that any misleading information may impact your application.
  8. Send the completed form and Appendix A to your supervisor for their part of the certification. They will fill out Section II and send the entire form directly to the Office of the Professions.
  9. Make sure to save your changes, download a copy of the completed form for your records, and print or share it as necessary.

Complete your Form 4b Lcsw online today for a smooth application process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Licensed Clinical Social Worker Form 4B...

Assigned Number (from Form 4):. 1. Complete Section I. In item 3, enter your name exactly...

Learn more
Licensure-qualifying graduate social work programs

Apr 15, 2016 — Applying for LCSW: A LMSW may apply for the LCSW at any time by...

Learn more
NYS Social Work:LCSW License Requirements (2023)...

To meet the experience requirement for licensure as an LCSW, you must have ... The...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

How many clinical hours do you need for LCSW in NJ?

Licensed Clinical Social Worker (LCSW) The 3,000 hours shall be completed in no less than two years and no more than four years. At least 1,920 hours of the 3,000 hours shall be in face-to-face client contact, and half of these 1,920 hours shall be in psychotherapeutic counseling.

A total of 36 months and 2,400 hours of direct client contact in psychotherapy is required. The LCSW must complete a minimum of 400 client contact hours in any 12-month period. Part-time experience will increase the time to complete the required hours.

General Requirements be of good moral character; be at least 21 years of age; have an education that includes a masters degree in social work (M.S.W.) with at least 12 semester hours of clinical coursework acceptable to the Department; have at least 3 years of post M.S.W.

The major difference between the two is that the LMSW may only provide "clinical social work" services (diagnosis, psychotherapy, and assessment-based treatment planning) under supervision; the LCSW may provide those services without supervision.

Effective January 1, 2015, New York State Education Law requires each licensed master social worker (LMSW) and licensed clinical social worker (LCSW) to complete 36 hours of acceptable formal continuing education during each three-year registration period.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get Form 4b Lcsw