Supervision Request

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Supervision Request

Amber Moskowitz is a licensed clinical social work in the state of PA.

I am able to provided up to all 500 supervision hours for LSW working toward LCSW/LISW. I can also provide 50% of supervision for those working toward LPC or LMFT licensure.

Amber Moskowitz charges $60 per hour for individual supervision or $60/number of attendants for group supervision.

So if there is not currently group you can join, feel free to reach out about starting a group or splitting supervision with a co-worker/friend.

Name *

Email *

Master's program (Graduation Year) *

How do you plan to pay for Supervision? *

Provide credit/debit card to keep on file to be charged at the end of each month

Paypal/Venmo at the beginning of each session

Employer is paying (specifics to be outlined in contract)

Other:

Current Practice setting *

Community Mental Health (I.E. Mercy, UPMC clinic/program)

Hospital (medical)

School (K-12)

College/University counseling

Wraparound/ASD

Inpatient/ Psychiatric Hospital

Case Management

Other:

Required

Meeting Preferences *

In-Person AM Enough Counseling Office East End Pittsburgh

Online through Doxy.me

Other:

I understand that it is the supervisees responsibility to bring questions/cases to supervision and agree to come prepared with topics to make the best use of clinical time. *

Yes

Required

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