Consulting
Clinical Supervision and Clinical Director Services
In Florida, an intern's hours count toward a license only under a Board-approved qualified supervisor, and Rule 64B4-2.002 requires at least 100 hours of supervision over no less than 100 weeks, plus 1,500 hours of face-to-face psychotherapy. Our clinical supervision services give your clinical staff guidance and support, training that strengthens clinical skills, and review and feedback on patient cases and clinical documentation.
The short answer
What do clinical supervision services involve?
In Florida, an intern's hours count toward a license only under a Board-approved qualified supervisor: at least 1 hour of supervision every two weeks, at least half in person, and no more than 25 interns per supervisor. The Advixor Group's clinical supervision services give your clinical staff guidance and support, training that strengthens clinical skills, and review and feedback on patient cases and clinical documentation.
Our Service
Our clinical supervision services and clinical director support
For therapy and behavioral health practices, the service is part of our healthcare consulting.
Clinical supervision is provided by Dhaima Chin and Melida Berroa. When a practice needs a qualified supervisor, we arrange one who holds a Florida license and Board-approved qualified supervisor status for the license being supervised, and you see both before supervision begins.
Whether supervision covers registered interns, the mix of in-person and telehealth sessions, scheduling and the fee are set in a written agreement after we go over your needs.
Clinical supervision services
All clinical supervision and clinical decisions that require a professional license are made by, or under the authority of, an appropriately licensed professional.
Book a consultationFlorida Rules
Clinical supervision rules in Florida: format, cap and what changed in 2026
Beyond the hours, Rule 64B4-2.002 sets the format:
- At least 1 hour of supervision every two weeks.
- At least 50% in person, after a first in-person meeting; the rest can be by video.
- Individual: one supervisor, up to 2 interns. Group: 3 to 6 interns, all in the room, each group hour alternating with an individual hour.
- All-electronic supervision, phone included, only when the supervisor judges it not detrimental to clients and necessary for health, safety or welfare.
- An intern’s telehealth sessions count as face-to-face under a written protocol and safety plan that keeps the supervisor readily available, when both judge electronic sessions not detrimental to the client and necessary for health, safety or welfare.
- No more than 25 registered interns per supervisor at a time.
“An individual registered under this section must remain under supervision while practicing under registered intern status.”
In FY 2025–26, Florida had 12,257 active registered interns with Florida addresses, about 33 for every 100 LCSWs, LMFTs and LMHCs (our arithmetic from DOH’s Table 1); at the 25-intern cap, they would need at least 491 qualified supervisors (12,257 ÷ 25).
Source Florida DOH, Division of Medical Quality Assurance Annual Report FY 2025–26, Table 1.
By License
Clinical supervision in social work, family therapy and counseling, by license
| Requirement | Clinical social work | Marriage and family therapy | Mental health counseling |
|---|---|---|---|
| Post-master’s experience under a qualified supervisor | 2 years | 2 years; half the clients in marriage and family therapy; couples and family cases required | 2 years |
| Coursework first, if the degree lacked some | 15 semester hours (non-clinical programs) | 10 required courses, 6 semester hours in family systems | 7 required courses, one in psychopathology |
| Supervisor’s license | LCSW, or an LMFT or LMHC with 9 semester hours of social work coursework | LMFT, or an LCSW or LMHC with 6 semester hours in family systems and 5 years of MFT experience | LMHC, or an LCSW or LMFT with graduate courses in 3 of 6 counseling areas |
| Supervisor’s experience | 4 years (up to 2 in internship, 2 after licensure) | 5 years (up to 2 in internship, 3 after licensure) | Same as marriage and family therapy |
| Supervision training, after licensure | Graduate course, 12-hour live CE, field-instructor course or approved-supervisor designation | Graduate course, 12-hour live CE or approved-supervisor designation | Same as clinical social work |
Sources s. 491.005, F.S.; Rules 64B4-6.0025, 64B4-11.007, 64B4-21.007 and 64B4-31.007, F.A.C.
Training
Clinical supervision training: the 12-hour course and the renewal hours
The 12-hour course, from a Board-approved continuing education provider, covers the fundamentals in eight objectives, among them the major models of supervision, its ethics, law and regulation, Florida’s rules on interns, and evaluation.
Every third biennium, qualified supervisors take 4 hours of supervisory training, which count toward renewal (Rule 64B4-6.0025).
Supervisor Duties
Clinical supervision topics for social workers and counselors: the policy and the paperwork
Rule 64B4-2.0025 sets the qualified supervisor’s duties.
- Before the first sessionFile Form DH-MQA 5049, send the Board a signed letter agreeing to supervise, and wait for the Board’s approval letter for each intern.
- ThroughoutKeep the DH-MQA 5078 supervision log, give the intern access to a copy, and keep both of you within your scopes of practice.
- Within 7 daysReport scope, standard-of-care or legal violations; file a complete and accurate DH-MQA 1181 after supervision ends; tell the Board when supervision ends for any reason; and, since July 6, 2026, answer Board staff requests.
Source Rule 64B4-2.0025, F.A.C. (amended July 6, 2026).
Missing any duty is a disciplinary violation under s. 456.072(1)(k). A supervisor who keeps and follows a written policy is deemed to act within scope; its topics are a contract covering expectations, meetings and cost, training and feedback, the code of ethics, documentation of sessions, culturally sensitive assessment, teletherapy, boundaries and self-care.
Hours at Risk
Hours that don’t count in social work, MFT and counseling clinical supervision
- Before registration: time before an intern registers doesn’t count (s. 491.0045(4)).
- Before approval: adding or changing a supervisor needs a new letter and the Board’s approval first, and practicum hours come first (Rule 64B4-3.0085).
- Conflicts: supervision by the intern’s current or former therapist, spouse or employee, a parent, sibling or child, anyone in the household, or a current or former romantic, sexual, domestic or familial partner doesn’t count; most “former” cases date from July 6, 2026 (Rule 64B4-2.003).
Medicare
LCSW clinical supervision and Medicare: who can bill for an intern
Registered interns can’t enroll in Medicare: the clinical social worker, MFT and MHC benefits require a state license and at least 2 years (or 3,000 hours, for MFTs and MHCs) of supervised post-master’s experience. Behavioral health services by auxiliary personnel, who must meet state licensure rules and not be excluded, can be billed incident to a listed practitioner’s services under general supervision, and “only the supervising physician (or other practitioner) may bill” (42 CFR 410.26). CMS’s list of those practitioners includes physicians, NPs, PAs, clinical nurse specialists and nurse-midwives; for LCSWs, LMFTs and LMHCs it says: “We don’t cover services provided incident to your personal professional services.”
CMS’s guidance doesn’t say whether a Florida registered intern meets the auxiliary-personnel test, so ask your attorney before the first claim.
What’s included
What our clinical supervision services include
Documentation audits
Monthly supervision meetings with the clinical director, inside our quality assurance program.
Learn moreProgress notes
What the notes a supervisor reviews must show, visit by visit.
Learn moreMental health credentialing
Payer credentialing for LCSWs, LMFTs and LMHCs once they're licensed.
Learn moreVerify a Florida license
How to check a supervisor's license and an intern's registration.
Learn moreHR and staff training
Job descriptions, onboarding and in-service training for clinical teams.
Learn moreStart a mental health practice
How to open a private mental health practice in Florida.
Learn moreQuick answers
Clinical supervision services: what counts, online courses, pay, NPs and Medicaid
What counts as supervision, whether the 12-hour course can be online, paying a supervisor, NP supervision and the practice's Medicaid exposure. Raise your own team's setup in a consultation.
What counts as clinical supervision in Florida?
Can the 12-hour supervision course be taken online?
Does paying a supervisor make them the intern's employee?
Is nurse practitioner supervision the same thing?
Why is clinical supervision important to the practice, not just the intern?
Talk to an advisor
You care for patients. Who’s taking care of the business?
Tell us where your practice is today. We will tell you what we would do first.
Official sources
All read Oct 19, 2026.
- Florida Administrative Code: Rules 64B4-2.002, 64B4-2.0025 and 64B4-2.003 (amended July 6, 2026) and the notice of proposed rule (May 14, 2026); 64B4-3.0085, 64B4-6.0025, 64B4-11.007, 64B4-21.007 and 64B4-31.007.
- Florida Statutes (2026): s. 491.0045, s. 491.005, s. 464.012 and s. 409.913.
- Florida DOH, MQA Annual Report FY 2025–26, Table 1.
- CMS, Medicare & Mental Health Coverage, MLN1986542 (March 2026), and 42 CFR 410.26.