2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record. To apply for a predetermination, please fill out
Form #3085 and submit all required documentation specified on the form. Pursuant to
Wis. Stat. §
111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.
Wis. Stat. § 440.08 (2), the required renewal date for the Licensed Clinical Social Worker credential is 02/28/odd years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
- Upon completion of education and after receiving certification as an advanced practice social worker or as an independent social worker, engage in at least 3000 hours of supervised clinical social work practice, including at least 1,000 hours of face-to-face client contact and including DSM diagnosis and treatment of individuals.
- Supervised clinical social work hours obtained in another state may be accepted towards the 3000 hours requirement.
- Clinical social work practice must be completed under the supervision of a supervisor approved by the Social Worker Section.
- Board reviews application and determines eligibility to sit for the national
ASWB exam. The exam for this level is called the ASWB Clinical Examination.
ASWB to register for the national exam.
An applicant for permanent certification may apply for a temporary certificate at the same time.
The temporary certificate may be issued to an individual who pays the required fee and meets all the qualifications for the permanent certificate except for passing the required national examination. The temporary credential expires upon notification of successful completion of the national examination or expiration of the 9 month period, whichever is earlier.
Applicants for licensure must have received a master's degree in social work from a program accredited by, or a pre-accreditation program of, the Council on Social Work Education or a doctoral degree in social work and, either as part of the master's or doctorate degree program or in post graduate studies, had a
clinical social work concentration and completed supervised clinical field training.
Application for Licensure
2681||Licensed Clinical Social Worker Application|
|Application for Fee Reduction (If applying for a fee reduction, this form must accompany the application for the credential.)|
2680||Licensed Clinical Social Worker Information for Application |
2673||Clinical Course Work for Social Work License (When submitting this form, you must also request a transcript directly from your school).|
2672||Documentation of Clinical Field Placement or Supervised Clinical Work Experience for Clinical Social Worker License |
2560||Documentation of Post-Graduate Clinical Experience - Supervisor's Affidavit|
|2771||Summary of Post-graduate Experience Hours for Clinical Social Work License (Submit with Form #2560)|
2829||Malpractice Suits or Claims Form (If applicable)|
3085||Application for Predetermination|
||Convictions and Pending Charges|
3071||Fax Payment Form|
|3219||Application for Re-Registration (For credentials expired five (5) years or more)|
Application for Substance Abuse Specialty
Pursuant to 2017 Wisconsin Act 262, as of April 11, 2018, Marriage and Family Therapists, Licensed Professional Counselors and Licensed Clinical Social Workers who practice as a substance abuse clinical supervisor or provide substance abuse counseling, treatment, or prevention services within the scope of their licensure are no longer required to obtain the substance abuse specialty or substance abuse credentials.