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How to Get Your LCSW License in Maryland (2026)

AH
Ava Health Team
··9 min read
## How to Become a Licensed Clinical Social Worker in Maryland Maryland is home to one of the most robust behavioral health markets on the East Coast. The Baltimore metropolitan area anchors a dense concentration of hospitals, academic medical centers, and community health programs, while the Washington DC suburbs in Montgomery and Prince George's counties add a high-income private practice market. Maryland participates in the LCSW Compact, making it an excellent base state for practitioners who also work across state lines. Here is the complete 2026 guide to your Maryland LCSW. ### Step 1: Complete Your MSW Degree Maryland requires a Master of Social Work from a CSWE-accredited program. Strong in-state options include the University of Maryland School of Social Work (Baltimore) — consistently ranked among the nation's top 10 MSW programs — as well as University of Maryland Eastern Shore and Bowie State University. The DC proximity also gives Maryland residents access to Georgetown, Howard University, and Catholic University MSW programs. The UMaryland School of Social Work's clinical concentration tracks are particularly well aligned with the ASWB Clinical exam and with the specialty practice areas most in demand in Maryland (trauma, urban poverty, aging, substance use). For those considering careers at Johns Hopkins or University of Maryland Medical System, academic medical center field placements are highly competitive advantages. ### Step 2: Accumulate Supervised Clinical Hours Maryland requires **3,000 post-MSW supervised clinical hours** over at least **two years**. Requirements: - Supervision must be provided by a Maryland LCSW (or board-approved out-of-state LCSW for certain telehealth arrangements) - A minimum number of direct, face-to-face supervision hours must be documented - Hours must consist of clinical services — individual, group, and family therapy; clinical assessment; psychosocial evaluations; treatment planning; crisis intervention - Maryland does not allow case management or administrative hours to substitute for clinical direct service hours Maryland's LGSW (Licensed Graduate Social Worker) is the intermediate credential. You apply for LGSW status after completing your MSW and begin supervised practice under that license. Document everything — Maryland's board audits supervision logs, and missing documentation is the most common reason for LCSW application delays. ### Step 3: Pass the ASWB Clinical Exam The **Maryland Board of Social Work Examiners** requires the ASWB Clinical Examination. - **170 questions** (150 scored, 20 pilot) - **4 hours** testing time - **~$260 ASWB exam fee** - Domains: Human Development & Diversity, Assessment, Psychotherapy, Professional Ethics, Practice Evaluation Maryland requires board approval of your eligibility before you can register with ASWB. Submit your supervised hours documentation for board review first, then register for the exam once approved. Testing centers are available in Baltimore, Rockville, and other Maryland locations. ### Step 4: Submit Your Application Licensure is managed by the **Maryland Board of Social Work Examiners** (under the Department of Labor). Application package: - Completed LCSW application (dllr.state.md.us) - Official MSW transcripts sent directly from your program - Supervision verification (Maryland board-specific forms) - ASWB Clinical exam score report - Criminal background check and fingerprinting (CJIS submission) - **Application fee: approximately $135–$175** Processing takes 6–10 weeks. Maryland's board has historically been thorough in its documentation review. A complete, error-free application significantly speeds approval. **LCSW Compact:** Maryland is a compact member. Given Maryland's proximity to DC, Virginia, West Virginia, and Pennsylvania — all with telehealth and cross-border practice considerations — compact privileges are particularly valuable. ### Continuing Education Requirements Maryland requires **40 CE hours per two-year renewal cycle**, including: - **3 hours** of ethics - **1.5 hours** on cultural diversity/cultural humility - Additional hours on mandated reporting and other topics may be required — verify current board guidance annually NASW-Maryland, University of Maryland programs, PESI, CE4Less, and Relias are popular CE sources. Maryland's requirement is standard at 40 hours per cycle. ### Maryland LCSW Salary Ranges Maryland offers some of the strongest LCSW compensation on the East Coast outside of New York and DC: - **Baltimore city hospital systems (Johns Hopkins, UM):** $65,000–$92,000 - **DC suburbs (Montgomery / Prince George's counties):** $68,000–$95,000 - **Community mental health centers:** $55,000–$72,000 - **Private practice (DC suburbs / Bethesda / Annapolis):** $65,000–$100,000+ - **State government (DHMH / DDA / DSS):** $58,000–$78,000 - **School-based:** $58,000–$74,000 (MCPS and PGCPS pay scales) - **Telehealth platforms:** $62,000–$85,000 Montgomery County private practice LCSWs frequently earn above $100,000 given the affluent, high-demand market and favorable commercial insurance reimbursement rates. ### Top Employers for Clinical Social Workers in Maryland - **Johns Hopkins Health System** — including Johns Hopkins Hospital and Johns Hopkins Bayview; one of the premier academic medical employers for LCSWs nationwide - **University of Maryland Medical System (UMMS)** — system-wide behavioral health, trauma, and integrated care positions across 13 hospitals - **MedStar Health** — Baltimore and DC suburb hospitals; large social work department - **Sheppard Pratt** — one of the nation's oldest and largest private psychiatric hospitals; Baltimore-based, with outpatient sites across Maryland - **Adventist HealthCare** — Montgomery County health system; significant behavioral health division - **Maryland Department of Health (MDH)** — state government positions in behavioral health, substance use, and psychiatric care - **CARE Crisis Response Services** — Baltimore-area crisis intervention; LCSW-preferred for clinical supervisor roles - **VA Maryland Health Care System** (Baltimore / Perry Point) — federal LCSW positions in mental health, PTSD, and substance use

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