Applications and Forms

(for INACTIVE or EXPIRED licenses)The reactivation application has been moved to an online process. To review the requirements and submit your reactivation application online login to your account at www.pals.pa.gov and click the pencil icon next to your license number to start the reactivation process.

Forms

Name and/or Address Change
Request for Verification of Clinical Experience (PDF)
Verification of licensure to another state - request ONLINE
Pennsylvania Registration - NCE (National Counselor Examination) (PDF)

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Contact

State Board of Social Workers, Marriage and Family Therapists and Professional Counselors

P.O. Box 2649

Harrisburg, PA 17105-2649

Phone - (717) 783-1389

Fax - (717) 787-7769

ST-SOCIALWORK@PA.GOV

Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary documents, transcripts and other education or employment verifications, and any other outside agency or related communications.

To contact the Board with general or application questions or assistance related to your license, application and/or for any technical support pertaining to the PA Licensing System known as PALS, please reference the link below.

Create a Ticket