DOH 670-011 May 2023 Page 1 of 2
Social Worker
Supervised Postgraduate Experience Requirements
Licensed Advanced Social Work (LASW) means the use of social work theory and methods including emotional
and biopsychosocial assessment, psychotherapy under the supervision of a licensed independent clinical social
worker, psychiatrist, psychiatric advanced registered nurse practitioner or psychiatric nurse.
LASW will only allow you to practice under supervision and is designed for people working in agencies, hospitals,
schools, or other institutions. If you choose to become LASW, you will have to reapply to become a Licensed
Independent Clinical Social Work (LICSW) if you practice under the denition of an LICSW in the future.
Postgraduate Supervised Experience for Advanced Social Worker:
Minimum of 3,000 hours of supervision by an approved supervisor as described in WAC 246-809-334.
Of those minimum 3,000 hours of postgraduate experience:
• 800 hours must be in direct client contact
• 90 hours must be in direct supervision, as follows:
- 40 hours must be in one-to-one supervison.
- 50 hours may be in one-to-one or group supervision.
Licensed Independent Clinical Social Work (LICSW) means the diagnosis and treatment of emotional and
mental disorders based on knowledge of human development, the causation and treatment of psychopathology,
psychotherapeutic treatment practices, and social work practice as dened in advanced social work. Treatment
methods include but are not limited to diagnosis and treatment of individuals, couples, families, groups, or
organizations.
LICSW will allow you to practice independently or in an agency setting.
Postgraduate Supervised Experience for Independent Clinical Social Worker:
A minimum of 3,000 hours of supervision over a minimum period of two years by an approved supervisor as
described in WAC 246-809-334.
Of those minimum 3,000 hours of postgraduate experience:
• 1,000 hours must be in direct client contact supervised by a LICSW.
• 100 hours must be in direct supervision, as follows:
- 70 hours must be supervised by an LICSW.
- 60 hours must be in one-to-one supervision.
Social Worker Credentialing
P.O. Box 47877
Olympia, WA 98504-7877
360-236-4700
DOH 670-011 May 2023 Page 2 of 2
Social Worker Credentialing
P.O. Box 47877
Olympia, WA 98504-7877
360-236-4700
Ve r i c a t i o n o f S o c i a l W o r k e r
Supervised Postgraduate Experience
Applicant Instructions:
Use a separate form for each supervisor verifying your postgraduate supervision and professional experience
for each practice setting. This form may be duplicated. Fill out section one and forward to your supervisor for
completion.
1. Applicant’s Information
Applicant’s Name Last First Middle
Date of Birth Credential Number
2. Approved Supervisor: An approved supervisor must meet the requirements of WAC 246-809-334.
The above individual seeks license as an Advanced Social Worker or Independent Clinical Social Worker in
Washington and requires verication of postgraduate supervision and professional experience. The information
listed below must reect only postgraduate supervision and professional experience. Experience gained through
inappropriate supervision will not count toward the applicant’s supervised postgraduate experience requirement.
The supervisor must be licensed and legally able to practice in the location where supervision hours are being
earned. Please complete the following.
Supervisor Name
Credential Number Date Issued
Current Address Current Phone (10 digit #)
City State Zip Code
3. Supervised Postgraduate Experience: See page one for list of requirements.
Type: c Licensed Advanced Social Worker c Licensed Independent Clinical Social Worker
Dates of
Supervision
From:
mm
dd
yyyy
To:
mm
dd
yyyy
A. Indicate number of hours of direct client contact
B. Indicate number of hours of one-on-one supervision
C. Indicate number of hours of group supervision
D. Indicate number of other hours
E. Total number of hours (A + B + C + D = E)
I certify that the above information is, to the best of my knowledge, accurate and complete. I understand the
department may request additional information, if it is needed, to evaluate the application of the individual named
on this document.
Supervisor’s Signature _________________________________________________ Date ______________
