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Behavioral Health Careers by State

The SAMHSA Behavioral Health Career Navigator is a tool for people who want a job or career in mental health and substance use disorder treatment and prevention. There are many ways to start and grow a career in behavioral health. Each path has its own requirements for getting and keeping a license or certification, and these requirements can be different depending on where you live. You can also learn more about each role.

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Massachusetts Careers

Addiction Counselor

Issuing body and coverage area Issuer of the license or certification Massachusetts Bureau of Substance Addiction Services

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, 6000 hours (high school/GED); 4000 hours (bachelor's)
Are supervision hours required for this license or certification? Yes, 6000/4000 hours (general supervision) including 300 hours (direct supervision)
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 Massachusetts Bureau of Substance Addiction Services

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, 6000 hours (master's and no LADC II credential); 2000 hours ( 4000 hours with bachelor's for LADC II); no additional hours if 6000 were documented for LADC II
Are supervision hours required for this license or certification? Yes, 6000/2000 hours (general supervision) including 300 hours (direct supervision)
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 Massachusetts Bureau of Substance Addiction Services

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, 2000 hours
Are supervision hours required for this license or certification? Yes, 2000 hours (general supervision)
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 Massachusetts Board of Substance Abuse Counselor Certification

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, 4000 hours
Are supervision hours required for this license or certification? Yes, 4000 hours (general supervision)
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 Massachusetts Board of Substance Abuse Counselor Certification

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, 10,000 hours
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, 6 hours

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Substance Abuse Counselor Certification

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 (direct supervision)
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 Massachusetts Board of Substance Abuse Counselor Certification

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, 6000 hours (high school/GED); 5000 hours (associate's); 4000 hours (bachelor's); 2000 hours (graduate degree)
Are supervision hours required for this license or certification? Yes, 6000/5000/4000/2000 hours (general supervision)
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 Practitioner

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration in 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 a licensed RN
Are supervision hours required for this license or certification? Yes, Must be a licensed RN
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, 15 hours (for APRNs with prescribing authority, the 15 hours must include some training related to pain management, opioid prescribing, and substance use disorder)

Clinical Social Worker

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Social Workers

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? No, if undergraduate degree; yes, if high school/GED degree, 4 years (if no undergraduate degree)
Are supervision hours required for this license or certification? No, if undergraduate degree; yes, if high school/GED degree, 4 years (general supervision)
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, 10 hours

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Social Workers

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? Undergraduate
Is passing a qualifying exam required for this license or certification? Yes
Are practice hours required for this license or certification? Yes, if non social work degree; no, otherwise , 3500 hours (if non-social work degree)
Are supervision hours required for this license or certification? Yes, if non social work degree; no, otherwise , 3500 hours (general supervision), including 100 hours (direct supervision)
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, 15 hours

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Social Workers

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, 20 hours

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Social Workers

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, 3500 hours (after obtaining LCSW)
Are supervision hours required for this license or certification? Yes, 3500 hours (general supervision), including 100 hours (direct supervision)
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, 30 hours

Community Health Worker

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Certification of Community Health Workers

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? Yes, 2000 hours plus board-approved training program certification or 4000 hours
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, 15 hours

Marriage and Family Therapist

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Allied Mental Health and Human Services Professionals

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, 200 hours
Are supervision hours required for this license or certification? Yes, 200 hours (general supervision), including 100 hours (direct supervision)
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, 30 hours

Mental Health Counselor

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Allied Mental Health and Human Services Professionals

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, 3360 hours
Are supervision hours required for this license or certification? Yes, 130 hours (generally supervised) including 75 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, 30 hours

Peer Recovery Support Specialist

Issuing body and coverage area Issuer of the license or certification Massachusetts Department of Mental 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? 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, 20 hours

Physician Assistant

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Physician Assistants

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, 100 hours

Prevention Specialist

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Substance Abuse Counselor Certification

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, 2000 hours
Are supervision hours required for this license or certification? Yes, 2000 hours (general supervision) including 120 hours (direct supervision)
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 Massachusetts Board of Registration in Medicine

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, Post-graduate training (e.g., residency)
Are supervision hours required for this license or certification? Yes, Post-graduate training (e.g., residency)
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, 100 hours

Psychologist

Issuing body and coverage area Issuer of the license or certification Massachusetts Board of Registration of Psychologists

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, 3200 hours
Are supervision hours required for this license or certification? Yes, 3200 hours (general supervision), including 1 hour of direct supervision for each 16 hours of work
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

Last Updated: 10/18/2024, 05/07/2025, 07/21/2025

Source: https://www.samhsa.gov/about/careers/behavioral-health-workforce/careers-by-state?field_bwc_state_value=Massachusetts