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an advanced practice social worker or an independent social worker.
(3) An affidavit that the applicant, after receiving a master's or doctoral degree and after
receiving certification as an advanced practice social worker or an independent social worker,
has completed at least 3,000 hours of clinical social work practice in no less than 2 years,
including at least 1,000 hours of face-to-face client contact and including DSM diagnosis and
treatment of individuals, under the supervision of a supervisor approved by the social worker
section. Pre-certification supervised practice shall meet the criteria under s. MPSW 4.01.
(4) Verification of successful completion of the examination approved by the section, or
verification that the applicant is a board certified diplomat (BCD) of the American board of
examiners in clinical social work.
(5) Verification of the applicant's credential in all jurisdictions in which the applicant has ever
been credentialed.
(6) All pertinent information relating to any convictions or pending charges for all crimes and
any traffic offenses which did or could result in revocation or suspension of the applicant's
driver's license.
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