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Aurora Counseling Associates

Therapy glossary

LICSW (Licensed Independent Clinical Social Worker)

An LICSW, Licensed Independent Clinical Social Worker, is a master’s-level clinician licensed in Massachusetts to practice psychotherapy independently. The credential requires a Master of Social Work degree, supervised clinical hours, and licensing exams. Clinical social work training adds a systems lens: how family, community, and practical circumstances shape mental health.

LCSW and LICSW mark stages of the same path: in Massachusetts, the LCSW practices under supervision while the LICSW has completed the supervised hours and exams required for independent practice. In the therapy room, an LICSW’s work looks like any well-trained talk therapist’s; the social work lens tends to surface in attention to context, family systems, and practical barriers.

Several clinicians on our team hold this license. For talk therapy, the license type matters less than fit and specialty; what the credential guarantees is accredited training, examination, and accountability to a state board.

Common questions

Is an LICSW a real therapist?

Yes. LICSWs provide a large share of the psychotherapy delivered in the United States, with full training in clinical assessment and treatment. The title on the door matters less than the license behind it, and this is a full clinical license.

What is the difference between an LICSW and an LMHC?

Different graduate paths to the same work: social work versus counseling. Both are master’s-level licenses authorizing independent psychotherapy in Massachusetts. Choose on specialty and fit rather than the acronym.

Related terms

Want to talk it through with a person?

A free 15-minute call is an easy way to ask how any of this applies to you.