The Supervisory Certification Attestation Application has two parts, the Application and this Guide, which is intended to help you successfully complete the application. Please refer to the guide as needed.

This is a step-by-step guide to help you complete this application.

Definitions, Roles and Responsibilities

Supervisor

Clinical supervisors must adhere to all state board regulations and maintain active licensure in one of the following categories: Licensed Marriage and Family Therapist (LMFT); Licensed Professional Clinical Counselor (LPCC); Licensed Clinical Social Worker (LCSW); Licensed Independent Social Worker (LISW); Licensed Mental Health Counselor (LMHC, provider type 445, specialty 122); Licensed Master’s Social Worker (LMSW, provider type 445, specialty 087); Licensed Associate Marriage and Family Therapist (LAMFT provider type 445, specialty 058); Licensed Alcohol & Drug Abuse Counselor (LADAC, provider type 440, specialty 124) or any professional license recognized by the board as a clinical supervisor.

Supervisee

Those who are under supervision must have completed all necessary requirements for their licensure type. Some agencies and programs may require background checks on persons rendering services. This certification excludes any and all provisionally or temporary licensed individuals. The non-independently licensed provider scope of practice includes the following: rendering social work and/or counseling related services, which may include evaluation, assessment, consultation, diagnosing, development of treatment plans, client-centered advocacy, case management and referral; appraisal; crisis intervention education; reporting; and record-keeping for individuals, couples, families or groups as defined by rule and New Mexico Statutes ( Counselors Scope of Practice 61-9A-5, Social workers Scope of Practice 61-31-6). Additional guidelines or rules may be required by the respective professional licensing board which must be followed.