Electronic Application Instructions for Licensure ASA Clinical Social Worker (LCSW) by Endorsement

Sep 21, 2026

Electronic application instructions for licensure as an ASA Clinical Social Worker (LCSW) by endorsement, detailing the supporting documentation required by the Virginia Board of Social Work. Requirements cover out-of-state licensure verification, submission of ASWB clinical examination scores, and guidance if the ASWB clinical exam has not been passed. It also explains how to document post-licensure active clinical practice or equivalent supervised experience, along with procedures for name change documentation.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages4

Reading Time10 min

AccessFree to download

Supporting documentation

Out-of-State Licensure Verification

Clinical Scores (ASWB)

Post-Licensure Active Practice / Supervision Experience

Name Change documentation

Applicant Out-of-State Licensure Verification Form

Part I (Applicant)

Part II (State Board)

Verification of Post-Licensure Active Practice Form

| Perimeter Center
9960 Mayland Drive, Suite 300 Henrico, VA 23233-1463
| Email: [socialwork@dhp.virginia.gov](socialwork@dhp.virginia.gov)
Phone: (804) 367-4441 E-Fax: (804) 977-9915
[Website:](Website: www.dhp.virginia.gov/social)[ ](Website: www.dhp.virginia.gov/social)[www.dhp.virginia.gov/social](Website: www.dhp.virginia.gov/social) | | --- | --- | ELECTRONIC APPLICATION INSTRUCTIONS FOR LICENSURE ASA CLINICAL SOCIAL WORKER (LCSW) BY ENDORSEMENT Supporting documentation: Upon completion of the online LCSW application you will be required to submit to the Board office the following items: Out-of-State Licensure Verification: If you have ever held a licensure or certification to practice social work, whether current or expired, please send the enclosed verification form to the issuing jurisdiction. This verification is to be completed by the issuing jurisdiction and mailed back to you and included in your application packet. Online verifications will be accepted; however verifications older than six months will not be accepted. Clinical Scores: You must submit verification that you have passed the clinical level examination administered by the Association of Social Work Boards (ASWB) . This must be provided by the ASWB by calling (800) 225-6880. Your exam scores will be sent directly from the ASWB to the Virginia Board of Social Work. Note: If you have not passed the ASWB clinical exam, Virginia can grant approval to take the examination. You will be subject to the requirements outlined in 18 VAC 140-20-70 of the Regulations Governing the Practice of Social Work. Verification of Post-Licensure Active Practice/Supervision Experience: • To validate your active post-licensure practice as an independent clinical social worker, you must submit the PostLicensure Active Practice form completed by your employer, a colleague, peer or a licensed practitioner who can attest to your post-licensure active practice in clinical social work for 36 of the last 60 months. If you have had several jobs, please submit multiple verification forms equaling to a minimum of 36 months. OR • In lieu of the active practice form listed above, you must provide evidence of supervised experience requirements substantially equivalent to those outlined in 18VAC140-20-50. You can provide any of the following documentation if you do not have 36 out of the past 60 months: o Verification of Clinical Supervision Form (can be found within the supporting documentation below); or o Supervision Verification from the original state in which you received your clinical license, which can be provided by submitting a copy of your licensure file which contains your original supervision documentation. Name Change: Documentation must be provided if your name has legally changed through marriage, divorce, or a court order. A photocopy of your marriage license or a copy of the court order must be provided. | Perimeter Center
9960 Mayland Drive, Suite 300 Henrico, VA 23233-1463
| Email: [socialwork@dhp.virginia.gov](socialwork@dhp.virginia.gov)
Phone: (804) 367-4441 E-Fax: (804) 977-9915
[Website:](Website: www.dhp.virginia.gov/social)[ ](Website: www.dhp.virginia.gov/social)[www.dhp.virginia.gov/social](Website: www.dhp.virginia.gov/social) | | --- | --- | APPLICANT OUT-OF-STATE LICENSURE VERIFICATION Part I. To be completed by the applicant: | INSTRUCTIONS PLEASE TYPE OR PRINT CLEARLY USE BLUE OR BLACK INK | | | --- | --- | | Name of Applicant (Last, First) | | | Mailing Address (Street and/or Box Number, City, State, Zip | | | Applicants Email Address | Home and/or Cell Telephone Number | Part II. To be completed by state Board of Social Work: |
INSTRUCTIONS PLEASE TYPE OR PRINT CLEARLY USE BLUE OR BLACK INK | | | --- | --- | | Title of License | License Number | | Issue Date | Expiration Date | | Obtained by Method
By Examination By Waiver By Endorsement Reciprocity | | | Is there any public informa

FAQs

What out-of-state verification materials must be submitted for endorsement?

Send the enclosed out-of-state licensure verification form to the issuing jurisdiction for completion and return to you for inclusion in the application packet. Online verifications are accepted, but verifications older than six months are not accepted.

How are ASWB clinical exam scores provided for the LCSW application?

Provide verification that you passed the ASWB clinical level examination. The ASWB must send your exam scores directly to the Virginia Board of Social Work by calling (800) 225-6880.

What documentation is required to verify post-licensure active clinical practice or supervision experience?

Submit the PostLicensure Active Practice form completed by an employer, colleague, peer, or licensed practitioner attesting to 36 months of active clinical practice in the last 60 months. Alternatively, provide evidence of supervised experience substantially equivalent to the requirements, including a Clinical Supervision Verification form or supervision verification from the original state with documentation from your licensure file.

Sep 21, 2026

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