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Private Practitioners Group Resources

The Private Practitioners Group aims to support Licensed Clinical Social Workers working in part time and full time solo private practice as well as those contemplating developing a private practice. 



Please note: while most of the following links are accessible to anyone, some require NASW membership, and members will be asked to log in using their ID number and password.  


Practice Building



 NY State Education Department

Is An LCSW Authorized to Practice Everything Under The LCSW Scope Of Practice?

Social Work Licensure & Practice in NYS: an NASW NYS Informational Video

Part 1: Overview of Licensed Practice
Part 2: Requirements and Scope of Practice
Parts 3 & 4: FAQs


General Resources for Private Practitioners
NASW National's Directory of Resources for Clinical Social Workers in Private Practice


Insurance and Managed Care Issues

Diagnostic Coding

Why you need to purchase or have ready access to the DSM-5


ICD-10 Required On October 1, 2015: Here’s What You Need To Know


CMS 1500 Claim Form

♦  CMS 1500 Claim Form Instruction Manual & Sample CMS 1500 Claim Form
♦  CMS 1500 FAQ
New CMS-1500 Claim Form Required Starting April 1, 2014

CPT Codes

♦  Most Frequently Used CPT* Codes

♦  New Psychotherapy Codes Take Effect January 2013

♦  2013 Psychotherapy Codes, American Psychological Association Practice Organization

♦  CPT Code Changes, American Clinical Social Work Association

♦  NASW Webinar: Psychotherapy Codes: Major Changes for 2013 [available on demand (archived) in mid-January; NASW members only (have your NASW ID number ready]

♦  CPT Coding 2013 Changes, American Medical Association's 1-hour Webinar

♦  CPT Code Changes for 2013, American Psychiatric Association



♦  CAQH Home Page

  CAQH Provider Guide

♦  CAQH Registration

  CAQH List of Participating Health Plans

  CAQH Provider Help


Silent PPOs

♦  Assurance of Discontinuance Agreement Between NYS Attorney General & Multiplan (2010)

♦ Alert to Clinical Social Workers Re: Insurance Payment

♦  Special Alert for Private Practice Members- Three Rivers


♦  2013 Medicare Changes (NASW Practice Perspectives)

♦  Medicare Enrollment Application (855I)

♦  Documenting For Medicare

♦  PECOS (Internet-based Provider Enrollment, Chain and Ownership System)

♦  National Government Services (Medicare Local Contractor)

♦  Medicare Claims Processing Manual

♦  National Government Services Provider Enrollment Specialist:
    888-379-3807 or 717-565-3948

♦  Medicare Requires New Medicare Beneficiary Identifier (MBI) to Replace Social Security Number On CMS 1500 Claim Forms Effective April 2018

           PQRS Frequently Asked Questions 

              Using PQRS Measures (NASW members only)
              ♦ Reporting PQRS Measures: NASW Archived Webinar (March 18, 2013)              

              ♦ PQRS Financial Incentive Program


♦  Medicaid Enrollment

♦  December 1, 2017 Deadline for Managed Care & CHP Providers to Enroll in Medicaid & Medicare



♦  Practice Update: Omnibus HIPAA September 2013
  HIPAA Highlights for Social Workers, NASW
♦  HIPAA Compliance Manual for Small Mental Health Practices in New York State
    Bruce Hillowe, J.D., PhD
♦  HIPAA Help by Edward L. Zuckerman PhD
♦  HIPAA Help: The American Mental Health Alliance









Risk Management Resources

  • Free Risk Management Hotline for NASW Members
    This hotline provides risk management consultations intended to help NASW members avoid licensing board complaints and malpractice lawsuits.
  • NASW Assurance Services provides professional liability insurance (including the aforementioned risk management hotline benefit) through NASW.
    Insureds with other questions about their professional insurance can contact NASW Member Services for more information: 800-742-4089.
  • Prudent Practice: A Guide For Managing Malpractice Risk including sample forms on CD-Rom and paper. Houston-Vega, M. K., Nuehring, E. M., & Daguio, E. R. NASW Press
  • NASW Assurance Services Practice Pointers



  • NASW: Legal Issue of the Month
    The “Legal Issue of the Month” is a compilation of articles authored by NASW’s legal staff. Each article provides an overview of a specific legal topic of relevance to social workers. Topics are updated monthly and previous topics remain available for viewing. Titles include Social Workers and Psychotherapy Notes, Social Workers and Record Retention Requirements, and Children’s Rights to Confidentiality, among others. NASW membership ID and password are required for access to this valuable members only resource.
  • Closing a Social Work Private Practice (Legal Issue of the Month, June 2011)

Gun Control Legislation Reporting Requirements (2013)



Protecting Ourselves


LMSWs Preparing for Private Practice:

Just For Fun

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