Supervision
Clinical supervision toward the LCSW, and consultation for licensed clinicians
Not just your clinical skills.
Depth · Presence · Practice
Supervision is where technique and clinical identity grow together: case conceptualization, ethical reasoning, countertransference, and the steady presence that makes therapy work. Sessions are held by secure video for social workers in New York, New Jersey, Delaware, and Virginia. New Jersey allows video for no more than half of individual supervision and not for group supervision, so New Jersey supervisees need some sessions in person. If you work somewhere else, supervision is arranged with your employer; in New York, that means a written agreement between you, your employer, and the supervisor.
Consultation Services
Supervision Tiers
Pro Bono
Mentorship for Social Workers
Because access to good supervision shouldn't depend on where you started.
A limited number of pro bono mentorship slots are available for social workers early in their career — particularly those navigating underserved communities, complex caseloads, or limited institutional support. Sessions focus on clinical grounding, professional identity, and sustainable practice.
Through one-on-one sessions, you will gain insights, strategies, and support designed to strengthen your skills, deepen your practice, and build confidence in your career path.
Reach out directly to inquire about availability.
LMSW Supervision
Individual Supervision Toward Licensure
For the clinician you are becoming.
Individual supervision sessions for Licensed Master Social Workers working toward their LCSW. Sessions are structured, clinically rigorous, and tailored to your caseload, modalities, and professional goals — integrating case consultation, theoretical depth, and reflective practice.
Hours can count toward LCSW licensure when your state's requirements are met
Hours are logged and documented to your state board's requirements in New York, New Jersey, Delaware, or Virginia. Available individually or as a structured supervision package.
New York, for example, requires at least 100 hours of supervision spread over at least 36 months, with 2,000 or more client-contact hours. Each state's rules are summarized below.
LMSW Group Supervision
Group Consultation & Peer Learning
The clinical room as community.
Small-group supervision for LMSWs working toward licensure. Group sessions create space for peer learning, shared case consultation, and the kind of collegial reflection that individual supervision alone cannot provide. Groups are kept intentionally small to preserve depth.
Hours can count toward LCSW licensure when your state's requirements are met
Hours are documented and count toward licensure within your state's rules on group supervision. Lex keeps the paperwork and tracks your hours.
LCSW Consultation
Peer Consultation for Licensed Clinicians
For those who want to keep growing after the license arrives.
Ongoing consultation for Licensed Clinical Social Workers seeking continued clinical development — complex case review, ethical consultation, practice-building guidance, or integration of advanced modalities including the AMI framework.
Available as individual sessions or an ongoing consultation arrangement. Benefit from extensive knowledge and experience in both academic and private practice settings.
Licensure by State
What counts in your state
LMSW → LCSW
New York
Source: NYSED Office of the Professions (op.nysed.gov)
At least 36 months (and no more than 6 years) of supervised clinical experience, with at least 2,000 client-contact hours in diagnosis, psychotherapy, and assessment-based treatment planning. At least 100 hours of clinical supervision, individual or group, spread across that period. Supervision may be held by secure video.
Your work setting must be legally authorized to provide clinical social work. If your supervisor isn't employed where you work, New York requires a written agreement between you, your employer, and the supervisor.
Paperwork: an optional Plan for Supervised Experience (Form 6) before you start, and a Verification of Supervised Experience (Form 4B) completed by your supervisor.
LMSW → LCSW
Delaware
Source: Delaware Board of Social Work Examiners, 24 DE Admin. Code 3900
3,200 hours of post-degree clinical experience over 2–5 years, 1,600 of them under direct supervision, including a minimum number of one-to-one supervision hours. Your supervisor must be an LCSW with at least 3 years post-licensure who meets Delaware's continuing-education requirements for supervisors.
Video OK for all 1-to-1 supervision
One-to-one supervision may be held entirely by live video. Phone and email supervision don't count. Paperwork: the Supervisory Reference Form, completed by your supervisor.
Delaware may have changed its exact one-to-one hour minimum in 2025, so confirm the current figure with the board.
LSW → LCSW
New Jersey
Source: N.J. State Board of Social Work Examiners, N.J.A.C. 13:44G
3,000 hours of clinical experience over 2–4 years, including 1,920 face-to-face hours, at least 960 of them psychotherapy. At least 1 hour of supervision a week. Your supervisor must be a New Jersey LCSW with at least 3 years of licensure and 20 credits of board-approved supervision coursework.
Video OK for up to half of individual supervision
If you work somewhere else, your employer must consent in writing to outside supervision. Hours can't be earned in a practice you own. Paperwork: an optional Proposed Plan of Supervised Experience, and a final verification submitted with your LCSW application.
Supervisee in Social Work → LCSW
Virginia
Source: Virginia Board of Social Work, 18VAC140-20-50
3,000 hours of supervised experience over 2–4 years, including 1,380 face-to-face client hours. 100 hours of supervision, at 1–4 hours for every 40 hours worked. No more than 50 hours can be group supervision, in groups of 6 or fewer. Real-time video counts as face-to-face. Your supervisor must hold a Virginia LCSW with at least 2 years post-licensure and 14 hours of board-approved supervisor training.
Hours only count after the board approves your Registration of Supervision, so we file that before we start. The final verification form must be notarized.
Lex Enrico Santí, LCSW
Founder & Clinical Director · DSW Candidate · LCSW in NY, NJ, DE & VA
Lex has practiced clinically since 2015 (LCSW since 2021) across community mental health at Family & Children's Service of Ithaca, college counseling at Cornell Health, and private practice, with training in CBT, ACT, DBT, narrative therapy, and mindfulness-based approaches. Lex's supervision integrates clinical rigor with reflective inquiry, drawing on the AMI (Acceptance & Motivation Inquiry) framework developed in Lex's DSW capstone research. Lex meets the supervisor requirements in New York, New Jersey, Delaware, and Virginia.
A Key Therapy's supervision team is growing. As additional supervisors join, their profiles and specializations will be listed here.
The Work Itself
What Supervision May Include
Case Consultation
Clinical conceptualization, treatment planning, and intervention review
Theoretical Integration
CBT, ACT, DBT, narrative therapy, mindfulness, and AMI
Ethical & Professional Guidance
Navigating complex ethical terrain with clarity and care
Clinical Presence
Developing the embodied, mindful attention that makes therapy work
Countertransference
Attending to the relational and emotional field of clinical work
Professional Identity
Who you are as a clinician — not only what you do
How It Works
From first call to verified hours
1 · Book a consultation
Book on the Contact page and mention supervision, your license, your state, and where you work.
4 · Sign the agreement
It covers frequency, fees, record-keeping, what happens in an emergency, and how either of us can end the arrangement.
2 · Consultation call
We talk about your goals, your caseload, the hours you still need, and whether we're a good match.
5 · Meet regularly
Each session is logged with its date, length, format (individual or group), and topics.
3 · Check your state's rules
We confirm your state allows the arrangement, including setting rules and any employer agreement. In Virginia, we register the supervision before hours count.
6 · Verification
At the milestones your board requires, and when you apply for the LCSW, we complete and sign the board's verification forms.
Questions
Fees and common questions
What does supervision cost?
Fees depend on the format (individual, group, or consultation) and frequency. We go over them in your consultation, and they're written into your supervision agreement. In New York, supervision for social workers employed elsewhere is set up through and with your employer under the three-party agreement. Pro bono mentorship slots are free.
Can it all be by video?
In most cases, yes. New York, Delaware, and Virginia accept live video. New Jersey allows video for no more than half of individual supervision and not for group supervision, so New Jersey supervisees need some sessions in person. See the state rules above.
Do supervision hours with Lex count toward my LCSW?
Yes, when your state's rules are met: any registration or approval your board requires is in place, and your work setting qualifies. We check this together before any hours are counted.
I'm already licensed. Can I get consultation?
Yes. Consultation for licensed clinicians in any of our four states is available as single sessions or an ongoing arrangement. Consultation isn't supervision toward licensure.
Do I need to work at A Key Therapy?
No. If you work somewhere else, supervision is arranged with your employer. In New York, the supervisor must be engaged through your employer under a written agreement between you, your employer, and the supervisor. New Jersey requires your employer's written consent. We'll help you set it up. LMSWs hired at A Key Therapy receive supervision as part of their role.
How do I get started?
Book a consultation on the Contact page and mention supervision, your license, and your state in the notes. Spots are limited and filled by fit as well as availability.
"Supervision is not oversight. It is the ongoing practice of becoming — as a clinician, a thinker, and a human being in relationship with other human beings."
Begin
Ready to Take the Next Step?
Supervision slots are limited and filled by fit as much as availability. Book a consultation on the Contact page and mention supervision, your license, and your state in the notes.
State licensing boards: New York · New Jersey · Delaware · Virginia