Supervisors in Virginia

Counseling (LPC / LMHC)

You can complete all 200 required supervision hours in person or over secure real-time video, with no cap on virtual hours.

• Technology must be secure and maintain client confidentiality
• Must provide real-time visual contact (no phone/audio-only)
• 1-4 supervision hours per 40 work hours; max half in group

Virginia Board of Counseling · 18VAC115-20-52(B)(3)(b)

Social Work (LCSW)

Your required face-to-face supervision can happen in person or through real-time interactive technology such as video, with no cap on virtual hours.

• Technology must allow real-time, interactive contact
• 1-4 supervision hours per 40 work hours, 100 hours total
• No more than 50 of 100 hours in group supervision

Virginia Board of Social Work · 18VAC140-20-10 ("face-to-face"); 18VAC140-20-50(A)(2)

Marriage & Family Therapy (LMFT)

You can complete all 200 required supervision hours in person or over confidential real-time video, with no cap on virtual hours.

• Technology must maintain client confidentiality
• Must provide real-time visual contact with supervisor
• At least 100 hours from an LMFT; max 100 in group

Virginia Board of Counseling · 18VAC115-50-60(B)(1)

Psychology

You can likely use real-time video for residency supervision, since Virginia's rule sets no in-person requirement and board guidance allows synchronous telesupervision.

• Telesupervision must be real-time (synchronous), per board guidance
• Two hours individual supervision per 40 residency hours
• Get written informed consent before telesupervision begins

Virginia Board of Psychology · 18VAC125-20-65(B)(5); Board Guidance Doc. 125-7, §III(1)

Collaborating Physician (NP)

Your collaborating physician can be remote, even by telemedicine. NPs with 3 years (5,400 hours) of full-time experience don't need one.

• Autonomous practice after 3 years full-time (1,800 hrs/yr = 5,400 hrs)
• Practice agreement must provide for periodic physician chart review
• Physician site visits optional, at frequency the team sets

Virginia Board of Nursing and Board of Medicine (joint) · Va. Code § 54.1-2957(C), (D), (I); 18VAC90-30-86; 18VAC90-30-120

Supervising Physician (PA)

Your collaborating physician can be remote but must be available at all times. A 3-year independent-practice path is law but awaits Board regulations.

• One physician may collaborate with at most 6 PAs at once
• Practice agreement must set a record-review timeframe and evaluation process
• Independent practice after 3 years (5,400 hrs), once Board regs adopted

Virginia Board of Medicine · Va. Code §§ 54.1-2952, 54.1-2952.01 (Acts 2026, c. 418); 18VAC85-50-101; 18VAC85-50-110