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Licensed Clinical Social Worker Credentialing in Florida

Florida 60–90 days Last reviewed September 2026

Florida licensed clinical social workers are regulated by the Florida Department of Health's Division of Medical Quality Assurance and are active participants in the state's behavioral health delivery system, which includes one of the most heavily utilized Baker Act involuntary examination processes in the country. LCSWs who provide Baker Act-related assessment services in receiving facility settings must credential with those facilities' medical staff offices, in addition to standard payer credentialing. Florida Blue, Aetna, and Humana all credential LCSWs as independent behavioral health providers, with panel openings widely available outside of South Florida's competitive market. Florida Medicaid managed care plans credential LCSWs for behavioral health services under the Statewide Medicaid Managed Care program. The Florida LCSW community has benefited from expanded telehealth coverage requirements since 2020, and most major Florida payers now include telehealth behavioral health services in their credentialing enrollment. Florida's large Latino and Haitian communities drive demand for bilingual LCSWs, which is a factor in network adequacy assessments that can ease panel entry for bilingual providers.

Florida Medical Board

Phone
(850) 488-0595

Licensed Clinical Social Worker Requirements in Florida

Active Florida LCSW license from the Department of Health Division of Medical Quality Assurance
Florida Medicaid SMMC managed care behavioral health credentialing
Baker Act receiving facility credentialing if providing involuntary examination assessments
NPI Type 1 registration and CAQH ProView profile with current Florida licensure

Estimated Timeline

60–90 days
For Licensed Clinical Social Worker providers in Florida

Top Payers for Licensed Clinical Social Worker in Florida

Florida Blue Humana FL Aetna FL Molina Healthcare FL Magellan Health FL

Frequently Asked Questions

Can Florida LCSWs provide Baker Act-related assessment services and bill payers?

LCSWs can participate in Baker Act-related services but billing depends on the facility and payer. Most Baker Act receiving facilities bill for involuntary examination services under facility codes, not individual provider billing. LCSWs working in these settings should clarify billing arrangements with the facility.

How does Florida SMMC behavioral health credentialing work for LCSWs?

Florida's Statewide Medicaid Managed Care program requires LCSWs to credential with each MCO serving their county. Some plans delegate behavioral health credentialing to MBHOs. LCSWs should verify whether the plan or its contracted MBHO processes their application.

Are Florida LCSW telehealth services covered by all major payers?

Yes. Florida law requires commercial payers to cover telehealth behavioral health services at parity with in-person services. Florida Medicaid managed care also covers telehealth LCSW services. After credentialing, providers must ensure their billing includes correct telehealth modifiers (95, GT, or 02 as applicable).

Licensed Clinical Social Worker in Other States

Reviewed by Arctic Health Team , Credentialing Specialists

Last reviewed: September 2026

Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.

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