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CLIENT INFORMATION AND CONSENT Lisa Master, LCS WC 5026 Dorsey Hall Drive, Suite 205 Ellicott City, MD 21042 (410)2208183Therapist: I am a licensed clinical social worker who graduated from the University
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Cynthia Lengrand LCSW-C refers to a licensed clinical social worker in the state of Maryland, who has obtained certification as a clinical social worker.
Licensed clinical social workers (LCSWs) in Maryland are required to file information related to their professional practice.
To fill out the form, follow the provided guidelines for reporting your professional credentials, practice details, and any required continuing education credits.
The purpose is to ensure that licensed clinical social workers maintain their licensure and comply with state regulations, providing oversight for professional practice.
Information such as personal details, professional credentials, hours of continuing education, and practice location must be reported.
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