Supervisors in Massachusetts

Counseling (LPC / LMHC)

You can count supervision by live video or phone toward your LMHC with no cap, under a board policy made permanent in 2023.

• 130 post-master's supervision hours, at least 75 individual
• At least 1 supervision hour per 16 direct client hours
• Supervisor must be on staff at, or contracted with, your site

Board of Registration of Allied Mental Health and Human Services Professions · 262 CMR 2.07, 2.08; Board Policy on Teletherapy for Applicant Experience and Supervision Hours (made indefinite 5/19/2023); revised 262 CMR 2.00 issued 7/31/2026

Social Work (LCSW)

You can count live video supervision toward your LICSW with no cap, but phone supervision won't count and the board recommends an in-person first session.

• Live video only; phone supervision is not accepted
• Board recommends the first supervision session be in person
• 100 hours of individual supervision from an LICSW

Board of Registration of Social Workers · 258 CMR 9.03(4), 12.02(1); Board Emergency Policy on Teletherapy for Applicant Experience and Supervision Hours (updated 5/25/2021); Practice Advisory on video supervision (updated 5/26/2020)

Marriage & Family Therapy (LMFT)

You can count supervision by live video or phone toward your LMFT with no cap, under a board policy made permanent in 2023.

• 200 post-master's supervision hours, at least 100 individual
• Private practice settings don't qualify for post-master's experience
• 1,000 post-master's face-to-face client hours, 500 with couples/families

Board of Registration of Allied Mental Health and Human Services Professions · 262 CMR 3.03; Board Policy on Teletherapy for Applicant Experience and Supervision Hours (made indefinite 5/19/2023); revised 262 CMR 3.00 issued 7/31/2026

Psychology

You can count supervision by secure live video toward your Massachusetts psychology license, and your supervisor no longer has to be on site, under a 2023 board policy.

• Use a secure, HIPAA-compliant videoconferencing platform
• Supervisor must be available and have record access during services
• Weekly supervision, 1 hour per 16 hours, half from a licensed psychologist

Board of Registration of Psychologists · 251 CMR 3.05(2)(b), (c), (f); M.G.L. c. 112, § 118; Board of Psychologists Policy on Supervision and Teletherapy (10/13/2023)

Collaborating Physician (NP)

Your prescribing supervisor, a physician or experienced APRN, has no on-site requirement during your first two years, after which you can prescribe without supervision.

• 2 years supervised prescriptive practice, then attest for independent prescribing
• Signed prescribing guidelines with supervisor, kept on file at workplace
• Supervisor may be a qualifying physician or experienced APRN

Massachusetts Board of Registration in Nursing · M.G.L. c. 112, §§ 80B, 80E; 244 CMR 4.07(1)-(2)

Supervising Physician (PA)

Your supervising physician doesn't have to be on site but must review your diagnostic and treatment information on an agreed, timely schedule.

• Written prescribing guidelines with supervisor, signed and reviewed every year
• Supervisor reviews Schedule II prescriptions within 96 hours
• Backup physician named when supervisor is unavailable

Massachusetts Board of Registration of Physician Assistants; Board of Registration in Medicine · M.G.L. c. 112, § 9E; 263 CMR 5.04(3)(a), (d), (g), 5.06; 243 CMR 2.08