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3015858828Donna M. Firer, LCS WC 7034 Carroll Avenue, Suite #1 Tacoma Park, MD 20912 www.donnafirer.netFORMSCLIENT INFORMATION Client Name Address City State Zip Phone Work Phone Date of Birth Social

How to fill out firer lcsw-c

How to fill out firer lcsw-c

1. To fill out the FIRER LCSW-C form, follow these steps:
2. Start by entering your personal information, including your name, address, and contact details.
3. Provide information about your current employment, including the name of your employer, your position, and your supervisor's contact information.
4. Indicate your educational background by entering details about your degree(s), the institution(s) attended, and the year(s) of graduation.
5. Provide information about your license(s) and certification(s), including the type, number, and expiration date.
6. Answer the questions related to any disciplinary actions or complaints filed against you.
7. Fill out the section regarding your professional experience, including details about your previous positions, responsibilities, and dates of employment.
8. Complete the section on your continuing education, including the courses or trainings you have completed and the number of hours earned.
9. Provide information about your supervision experience, including the number of hours you have supervised and the names of the individuals you have supervised.
10. Sign and date the form.
11. Review the form to ensure accuracy and completeness before submitting it.

Who needs firer lcsw-c?

1. The FIRER LCSW-C form is needed by licensed clinical social workers in the state of Maryland who wish to apply for the designation of LCSW-C (Licensed Certified Social Worker-Clinical). This designation allows LCSWs to provide clinical services and act as supervisors for other social workers.

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What is firer lcsw-c?

Firer LCSW-C is a specific form used for reporting purposes by licensed clinical social workers in certain jurisdictions, detailing their professional activities and client interactions.

Who is required to file firer lcsw-c?

Licensed clinical social workers (LCSWs) who practice in jurisdictions that mandate the filing of the firer LCSW-C form are required to file it.

How to fill out firer lcsw-c?

To fill out the firer LCSW-C, practitioners must provide accurate details about their practice, including client information, treatment modalities, and any other mandated data as outlined in the filing instructions.

What is the purpose of firer lcsw-c?

The purpose of the firer LCSW-C is to ensure compliance with regulatory standards, track service provision, and facilitate oversight of clinical social work practices.

What information must be reported on firer lcsw-c?

Information that must be reported typically includes client demographics, types of services provided, treatment outcomes, and billing details, as required by state regulations.