What is the difference between LCSW and LCSW-C?

LCSW is advanced generalist (no independent clinical services). LCSW-C is Maryland's clinical designation for psychotherapy, diagnosis, and independent clinical practice. Most states use LCSW for the clinical license; Maryland is different.

Can I upgrade from LCSW to LCSW-C later?

You can pursue LCSW-C after LCSW, but your generalist hours may not satisfy LCSW-C requirements (1,500 direct clinical hours, 144 supervision). Most candidates choose the LCSW-C pathway from the start.

CredentialTraxLicensure Compliance

Moderate ComplexityComing SoonLicensed Master Social Worker (LMSW) → Licensed Certified Social Worker (LCSW)

Maryland LMSW → LCSW Supervision Requirements

Maryland's advanced generalist social work license — understand how LCSW differs from LCSW-C before you start.

Total Hours

3,000

Calendar Minimum

24 months

Supervision

100

Direct Hours Floor

Not specified

Why This State Is Complex

Maryland's LCSW is an advanced generalist credential — NOT a clinical license. LCSW holders cannot independently provide psychotherapy or diagnosis. For clinical practice, you need LCSW-C. The pathway itself is straightforward (3,000 hours, 100 supervision), but choosing the right track is critical.

Key Requirements at a Glance

MSW from CSWE-accredited program

3,000 hours post-master's supervised social work experience

100 hours face-to-face supervision with LCSW or LCSW-C supervisor

24-month minimum supervised practice period

Pass ASWB Advanced Generalist exam

Maryland Law Assessment (MLA)

LCSW does NOT authorize clinical practice — LCSW-C required for clinical work

Common Pitfalls to Avoid

Pursuing LCSW when your goal is clinical/psychotherapy work — LCSW-C is the correct target

Sitting for the wrong ASWB exam (Advanced Generalist vs. Clinical)

Assuming LCSW and LCSW-C have the same scope of practice

Frequently Asked Questions

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