Swpr4 Certification of Experience for LCSW Psychotherapy R Privilege 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. In Section I, enter your Social Security Number and Birth Date. If you do not have a U.S. Social Security Number, leave that field blank.
  3. Print your name exactly as it appears on your Application for LCSW Psychotherapy 'R' privilege in item 3. Ensure you complete your contact information accurately.
  4. Complete the remaining fields in Section I, including your New York State LCSW license number and the dates related to your licensure and M.S.W. degree.
  5. Once Section I is filled out, send the entire form along with Appendix A to your supervisor for completion of Section II.
  6. Ensure that your supervisor signs and returns the completed form directly to the Office of the Professions as specified.

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LMSW, LCSW, or LCSW-R: Licensed Master Social Worker, Clinical Social Worker, or Licensed Master Clinical Social Worker R Licensed Psychologist/Ph. D or Psy.D: Doctor of Philosophy or Doctor of Psychology.
No, an LCSW cannot prescribe medication. They are not medical doctors and do not have the authority to prescribe or manage medication. Instead, they provide psychotherapy and connect clients with psychiatrists or other medical professionals who can prescribe medication if needed.
LCSW R Psychotherapy Privilege New York State Insurance Law authorizes a privilege to the LCSW license. This privilege requires the LCSW license and three years of supervised experience in psychotherapy obtained after receiving the LCSW. A separate application and fee are required for this privilege.
The R privilege requires insurance carriers to provide reimbursement for psychotherapy services whenever a health insurance contract includes reimbursement of qualified psychologists and psychiatrists.
While the LCSW-R is the highest level licensure, an LCSW without the additional requirements is by authority of statute, already authorized and qualified to independently provide diagnosis, assessment based treatment planning and psychotherapy and as such, should be reimbursed for such work!

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