• Sean Hennessey LCSW Supervisor Agreement

  • This document is intended to inform you that your therapist is a Licensed Social Worker (LSW) providing services under the direct supervision of Sean Hennessey, a Licensed Clinical Social Worker (LCSW), License Number 12AB3456789.

    I understand that, as an LSW, my therapist is certified by the NJ State Board of Social Work Examiners to provide counseling services and maintains the same scope of practice as an LCSW, including, but not limited to, counseling, counseling interventions, appraisal and assessment, consulting, referral, and research activity.

    I understand that, as an LSW, my therapist has met all requirements of the State of New Jersey, including obtaining a Master of Social Work degree from an accredited university, completing all necessary additional graduate courses in the practice of professional counseling, successfully passing the ASWB Master Exam as administered by Association of Social Work Boards, and completing all internships.

    I understand that, in order to ensure the highest quality care, the supervisor will meet with your therapist on a regular basis, review and maintain all documentation regarding your sessions, and may observe your sessions. The supervisor will continue to maintain this relationship with your therapist until such time that the therapist meets the minimum number of required supervised hours for becoming an LCSW.

  • BY SIGNING BELOW I AM AGREEING THAT I HAVE READ, UNDERSTOOD, AND AGREE TO THE ITEMS CONTAINED IN THIS DOCUMENT.