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Licensed Clinical Social Worker Credentialing in New York

New York 60–90 days Last reviewed September 2026

New York licensed clinical social workers are among the most credentialed and independently practicing behavioral health providers in the country, serving a dense urban population with extremely high rates of mental health service utilization. New York's LCSW licensure is granted by the State Education Department Office of the Professions, which enforces continuing education requirements including 36 hours of CE per triennial period. Empire BCBS and EmblemHealth credential LCSWs through their behavioral health divisions, with panel availability strongest in upstate markets and more competitive in NYC where LCSW density is high. New York Medicaid managed care plans credential LCSWs as behavioral health providers, and panel opportunities exist through Fidelis Care, Healthfirst, and MetroPlus behavioral health programs. New York's robust Article 31 mental health clinic system provides employment for LCSWs who may prefer clinic-based credentialing over independent practice credentialing. The state's Medicaid APM (Alternative Payment Model) arrangements incentivize LCSWs to participate in integrated care models, creating new billing and credentialing pathways. Telehealth LCSW services are fully covered by New York payers following 2020 legislation.

New York Medical Board

Phone
(518) 474-8357

Licensed Clinical Social Worker Requirements in New York

New York LCSW license from the State Education Department Office of the Professions
New York Medicaid managed care credentialing with each relevant behavioral health MCO
Article 31 clinic credentialing if providing services within an OMH-licensed mental health clinic
NPI Type 1 and CAQH ProView profile with current New York LCSW license documentation

Estimated Timeline

60–90 days
For Licensed Clinical Social Worker providers in New York

Top Payers for Licensed Clinical Social Worker in New York

Empire BCBS EmblemHealth Fidelis Care NY Healthfirst NY Beacon Health Options NY

Frequently Asked Questions

Can New York LCSWs bill Medicaid independently without physician supervision?

Yes. New York Medicaid enrolls LCSWs as independent behavioral health providers. The LCSW must be licensed in New York, enrolled in each relevant Medicaid MCO, and billing for covered behavioral health services within their licensed scope of practice. No physician supervision is required for independent LCSW billing.

How does Article 31 clinic employment affect LCSW credentialing in New York?

LCSWs employed by Article 31 clinics are typically credentialed through the clinic's provider enrollment, not as individual practitioners. The clinic bills for LCSW services under the clinic's NPI. LCSWs considering independent practice must establish their own individual payer credentialing separately from any clinic employment.

Are New York LCSW telehealth services covered by commercial payers post-pandemic?

Yes. New York law requires commercial health insurers to cover telehealth services, including LCSW behavioral health services, at parity with in-person services. Empire BCBS, EmblemHealth, and Aetna all have explicit telehealth coverage for credentialed LCSWs. Providers must use correct telehealth place-of-service codes and modifiers.

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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