Behavioral Health Careers by State

The SAMHSA Behavioral Health Career Navigator is a tool for those interested in a job or career in the fields of mental health and substance use. There are many options to start and grow a behavioral health career--all with varying requirements for entry and maintenance, which often varies by state. This guide can help you understand the basic requirements to enter the field in each state. You can also learn more about each role.

Map of the United StatesAlaska Alabama Arkansas Arizona California Colorado Connecticut Connecticut Washington, D.C. Delaware Delaware Florida Georgia Hawaii Hawaii Hawaii Hawaii Hawaii Hawaii Hawaii Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Massachusetts Maryland Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Hampshire New Jersey New Jersey New Mexico Nevada New York New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Vermont Washington Wisconsin West Virginia Wyoming

Maryland Careers

Addiction Counselor

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health Board of Professional Counselors and Therapists

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, Internship or 1000 hours
Are supervision hours required for this license or certification? Yes, Internship or 1000 hours (generally supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? No
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health Board of Professional Counselors and Therapists

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 2000 hours
Are supervision hours required for this license or certification? Yes, 2000 hours (generally supervised); 100 hours (directly supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Advanced Practice Registered Nurse

Issuing body and coverage area Issuer of the license or certification Maryland Board of Nursing

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Yes for nurse licensure; no for APRN
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, Must be licensed RN
Are supervision hours required for this license or certification? Yes, Not specified
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months (tied to RN renewal)
Are continuing education hours required to renew this license or certification? Yes, 30 hours (as part of RN renewal)

Clinical Social Worker

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health Board of Social Work Examiners

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? No
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 3000 hours
Are supervision hours required for this license or certification? Yes, 3000 hours (generally supervised); 100 hours (directly supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Community Health Worker

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? High school/GED
Is passing a qualifying exam required for this license or certification? No (but must complete training program)
Are practice hours required for this license or certification? Yes, 40 hours
Are supervision hours required for this license or certification? Yes, 40 hours (directly supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? No
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 20 hours

Marriage and Family Therapist

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health Board of Professional Counselors and Therapists

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 2000 hours
Are supervision hours required for this license or certification? Yes, 2000 hours (generally supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Mental Health Counselor

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health Board of Professional Counselors and Therapists

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Yes
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 3000 hours (masters) or 2000 hours (doctorate)
Are supervision hours required for this license or certification? Yes, 3000 hours generally supervised (masters) or 2000 hours generally supervised (doctorate)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health Board of Professional Counselors and Therapists

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? No
Are supervision hours required for this license or certification? No
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? No
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Peer Recovery Support Specialist

Issuing body and coverage area Issuer of the license or certification Maryland Addiction and Behavioral-Health Professionals Certification Board

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? High school/GED
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 2 years as CPRS or 1 year as supervisor
Are supervision hours required for this license or certification? No
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? No
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 6 hours

Issuing body and coverage area Issuer of the license or certification Maryland Addiction and Behavioral-Health Professionals Certification Board

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? High school/GED
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 500 hours
Are supervision hours required for this license or certification? Yes, 500 hours (generally supervised); 25 hours (directly supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 20 hours

Physician Assistant

Issuing body and coverage area Issuer of the license or certification Maryland Board of Physicians

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? No
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? No
Are supervision hours required for this license or certification? No
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 50 hours

Prevention Specialist

Issuing body and coverage area Issuer of the license or certification Maryland Association of Prevention Professionals and Advocates

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Undergraduate (unless high school/GED + experience)
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 2000 hours
Are supervision hours required for this license or certification? Yes, 120 hours (directly supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Issuing body and coverage area Issuer of the license or certification Maryland Association of Prevention Professionals and Advocates

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? High school/GED
Is passing a qualifying exam required for this license or certification? No
Are practice hours required for this license or certification? No, 2000 hours
Are supervision hours required for this license or certification? Yes, 60 hours (directly supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? No
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 20 hours

Issuing body and coverage area Issuer of the license or certification Maryland Association of Prevention Professionals and Advocates

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Not applicable
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Undergraduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 4000 hours
Are supervision hours required for this license or certification? Yes, 120 hours (directly supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours

Psychiatrist/Addiction Medicine Physician

Issuing body and coverage area Issuer of the license or certification Maryland Board of Physicians

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Yes
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, Postgraduate training (e.g., residency)
Are supervision hours required for this license or certification? Yes, Not specified
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 50 hours

Psychologist

Issuing body and coverage area Issuer of the license or certification Maryland Department of Health Board of Examiners of Psychologists

For more information
Is the state/jurisdiction a member of an interstate compact that covers this license or certification? Yes
Obtaining a license or certification for the first time What degree is necessary to obtain this license or certification? Graduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, 3250 hours
Are supervision hours required for this license or certification? Yes, 3250 hours (generally supervised)
Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? Yes
Renewing a license or certification How frequently does this license or certification require renewal? 24 months
Are continuing education hours required to renew this license or certification? Yes, 40 hours