NEW LICENSE APPLICATION - GENERAL INSTRUCTIONS - D.C. BOARD OF SOCIAL WORK

Sep 21, 2026

Government of the District of Columbia Department of Health, Health Professional Licensing Administration, Board of Social Work, provides general instructions for submitting a new social work license application. Applicants must complete every section, include the original application and required supporting documents, and pay the applicable fees to process the application. The instructions cover attaching additional typed sheets for extra responses, the consequences of false or misleading statements, and contacting HPLA Customer Service. It also lists license types, examination and endorsement options, and related payment and mailing details.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages4

Reading Time10 min

AccessFree to download

NEW LICENSE APPLICATION

GENERAL INSTRUCTIONS

SECTION 1. TYPE OF LICENSE

SECTION 2. APPLICANT NAME/DEMOGRAPHIC INFORMATION

SECTION 3A. HOME ADDRESS

SECTION 3B. BUSINESS ADDRESS

SECTION 3C. PREFERRED MAILING ADDRESS

SECTION 4. PREVIOUS NAMES

SECTION 5. SUPPORTING DOCUMENTS

| | | --- | | | Government of the District of Columbia Department of Health Health Professional Licensing Administration BOARD OF SOCIAL WORK NEW LICENSE APPLICATION GENERAL INSTRUCTIONS All applicants must complete every section of this application and submit the original application and all required supporting documents. The fee must be included for this application to be processed. If more space is needed to fully answer questions, attach additional sheets with typed responses. False or misleading statements will be cause for disciplinary action and could be cause for criminal prosecution pursuant to DC Code 22-2514. If you have any questions, call HPLA Customer Service at 1-877-672-2174, Monday through Friday, 8:30AM to 4:30PM EST. Please mark the type of license for which you are applying. TOTAL Licensed Social Work Associate (LSWA) Examination $230 Licensed Social Work Associate (LSWA) Endorsement $230 Licensed Graduate Social Work (LGSW) Examination $230 Licensed Graduate Social Work (LGSW) Endorsement $230 Licensed Independent Social Work (LISW) Examination $230 Licensed Independent Social Work (LISW) Endorsement $230 Licensed Independent Clinical Social Work (LICSW) $230 Examination Licensed Independent Clinical Social Work (LICSW) $230 Endorsement Criminal Background Check-Call L-1 [Enrollment at](Enrollment at1-877-783-4187/ www.L1enrollment.com)[1-877-783-4187](Enrollment at1-877-783-4187/ www.L1enrollment.com)[/](Enrollment at1-877-783-4187/ www.L1enrollment.com)[ ](Enrollment at1-877-783-4187/ www.L1enrollment.com)[www.L1enrollment.com](Enrollment at1-877-783-4187/ www.L1enrollment.com) Re-Examination (select one) LSWA LGSW LISW Duplicate Licenses (limit 5) Total Enclosed LICSW X $34.00 = $85 $ .00 $ .00 | Make check or money order payable to DC Treasurer
A charge of $65.00 will be imposed for dishonored checks
(Public Law 89-208) | | | | | --- | --- | --- | --- | | MAIL TO: | | | | | D.C. Board of Social Work
P.O. Box 37802
Washington, D.C. 20013 | | | | | | | HPLA ONLY | | | Check $ Check \# Staff | | | | | $ .00 | | | | SECTION 1. TYPE OF LICENSE SECTION 2. APPLICANT NAME/DEMOGRAPHIC INFORMATION Enter your name exactly as it should appear on the license. If your name has changed at any point since you first attended college or university, you must provide a copy of legal name change document for EACH time that it has changed. Acceptable documents are marriage certificates , divorce decrees or court orders. Complete Section 4 on page 2 of this application. FIRST NAME MI LAST NAME SUFFIX (Jr, Sr, etc. ) M M D D Y Y Y Y SOCIAL SECURITY NUMBER DATE OF BIRTH If applicant does not provide a social security number, a sworn affidavit is required |
PLACE OF BIRTH
Provide City and State for US birthplace or Country for foreign place of birth. | | | | | | | | | Male Female
GENDER
Please check the correct box. | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | SECTION 3A. HOME ADDRESS | | | | | | | | | | | Even if you have a PO Box, a street address should also be provided, if applicable. | | | | | | | | | | | | APARTMENT | | SUITE | | FLOOR | | PO BOX NUMBER | | | |
HOME STREET ADDRESS 1 (If applicable , use this line for additional building information. Otherwise , use this line to indicate STREET NUMBER and STREET NAME) | | | | | | | | | | |
HOME STREET ADDRESS 2 (If additional space is needed, use this line to indicate STREET NUMBER and STREET NAME) | | | | | | | | | | |
CITY | | | | | | | | | | |
STATE ZIP CODE + 4

HOME PHONE NUMBER HOME FAX NUMBER E-MAIL ADDRESS | | | | | | | | | | | SECTION 3B. BUSINESS ADDRESS | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Please note: This information will be made available to the publi

FAQs

What must applicants submit for a new social work license application to be processed?

Applicants must complete every section and submit the original application plus all required supporting documents. The fee must be included for processing.

What should applicants do if they need more space to answer questions?

Attach additional sheets with typed responses to fully answer the questions.

What are the consequences of providing false or misleading information?

False or misleading statements may lead to disciplinary action and could also result in criminal prosecution under DC Code 22-2514.

Sep 21, 2026

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