18VAC140-20-40. Requirements for licensure by examination as a licensed clinical social worker.
Every applicant for examination for licensure as a licensed clinical social worker shall:
1. Meet the education requirements prescribed in 18VAC140-20-49 and experience requirements prescribed in 18VAC140-20-50.
2. Submit a completed application to the board office within two years of completion of supervised experience to include:
a. Documentation, on the appropriate forms, of the successful completion of the supervised experience requirements of 18VAC140-20-50 along with documentation of the supervisor's out-of-state license where applicable. Applicants whose former supervisor is deceased, or whose whereabouts is unknown, shall submit to the board a notarized affidavit from the present chief executive officer of the agency, corporation or partnership in which the applicant was supervised. The affidavit shall specify dates of employment, job responsibilities, supervisor's name and last known address, and the total number of hours spent by the applicant with the supervisor in face-to-face supervision;
b. The application fee prescribed in 18VAC140-20-30;
c. Official transcript or documentation submitted from the appropriate institutions of higher education that verifies successful completion of educational requirements set forth in 18VAC140-20-49;
d. Documentation of any other health or mental health licensure or certification, if applicable; and
e. A current report from the U.S. Department of Health and Human Services National Practitioner Data Bank (NPDB).
3. Provide evidence of passage of the examination prescribed in 18VAC140-20-70.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Historical Notes
Derived from VR620-01-2 § 2.1, eff. July 6, 1989; amended, Virginia Register Volume 6, Issue 26, eff. October 24, 1990; Volume 9, Issue 5, eff. December 30, 1992; Volume 12, Issue 3, eff. November 29, 1995; Volume 15, Issue 5, eff. December 23, 1998; Volume 25, Issue 4, eff. November 26, 2008; Volume 27, Issue 11, eff. March 2, 2011; Volume 29, Issue 22, eff. July 31, 2013; Volume 29, Issue 25, eff. September 26, 2013; Volume 29, Issue 26, eff. September 25, 2013; Volume 32, Issue 22, eff. August 12, 2016; Volume 33, Issue 20, eff. June 28, 2017.