Wyoming Mental Health Professions Licensing Board

License and Permits required to practice in Wyoming

Applying for Licensure

Application Processing

Questions?


Scroll down to find the appropriate profession. Then, click a link below and print the form you need. These are not editable or fillable. You must open and print.

Application Status Report - Click here to view what information has been received for your application. This is the preferred method of obtaining application status updates. 

Professional Counseling Applications (click here)

Certified Mental Health Worker by Examination  - This is intended for those with a bachelor's degree in a human behavioral discipline who are not licensed in another jurisdiction and have tested or need to test.

Certified Mental Health Worker by Reciprocity  - This is intended for those with a bachelor's degree in a human behavioral discipline who hold a similar license in another jurisdiction.

Provisional Professional Counselor  - This is intended for those with a master's degree in counseling who need to pass their examination and earn supervised experience.

Completing Provisional - This is intended for those who have received their provisional license and have completed all requirements for independent licensure. 

Licensed Professional Counselor by Examination  - This is intended for those with a master's degree in counseling who are not independently licensed in another jurisdiction, have completed their experience, and may need to sit for the examination. Please note, this method does not permit supervised practice while the applicant tests.  If you are seeking approval to test and need to practice, please consider the provisional method. If you hold a current Wyoming Provisional (PPC) license DO NOT use this application, please apply by Completing Provisional. 

Licensed Professional Counselor by Reciprocity  - This is intended for those with a master's degree in counseling who hold a similar license in another jurisdiction.

If you previously held a Wyoming license but failed to timely renew, please seek the relicensure application on the Renewal page.

Social Work Applications (click here)

Certified Social Worker by Examination  - This is intended for those with a bachelor's degree in social work who are not licensed in another jurisdiction and have tested or need to test.

Certified Social Worker by Reciprocity  - This is intended for those with a bachelor's degree in social work who hold a similar license in another jurisdiction.

Provisional Clinical Social Worker  - This is intended for those with a master's degree in social work who need to pass their examination and earn supervised experience.

Completing Provisional - This is intended for those who have received their provisional license and have completed all requirements for independent licensure. 

Licensed Clinical Social Worker by Examination - This is intended for those with a master's degree in social work who are not independently licensed in another jurisdiction, have completed their experience, and may need to sit for the examination. Please note, this method does not permit supervised practice while the applicant tests.  If you are seeking approval to test and need to practice, please consider the provisional method. If you hold a current Wyoming Provisional (PCSW) license DO NOT use this application, please apply by Completing Provisional. 

Licensed Clinical Social Worker by Reciprocity  - This is intended for those with a master's degree in social work who hold a similar license in another jurisdiction.

If you previously held a Wyoming license but failed to timely renew, please seek the relicensure application on the Renewal page.

Marriage and Family Applications (click here)

Provisional Marriage and Family Therapist - This is intended for those with a master's degree in marriage and family therapy who need to pass their examination and earn supervised experience.

Completing Provisional - This is intended for those who have received their provisional license and have completed all requirements for independent licensure. 

Licensed Marriage and Family Therapist by Examination  - This is intended for those with a master's degree in marriage and family therapy  who are not independently licensed in another jurisdiction, have completed their experience, and may need to sit for the examination. Please note, this method does not permit supervised practice while the applicant tests. If you are seeking approval to test and need to practice, please consider the provisional method. If you hold a current Wyoming Provisional (PMFT) license DO NOT use this application, please apply by Completing Provisional. 

Licensed Marriage and Family Therapist by Reciprocity  - This is intended for those with a master's degree in marriage and family therapy who hold a similar license in another jurisdiction.

If you previously held a Wyoming license but failed to timely renew, please seek the relicensure application on the Renewal page.

Addictions Therapy Applications (click here)

Certified Addictions Practitioner Assistant by Examination  - This is intended for those with an associates degree in addictionology, chemical dependency, substance use disorder counseling, or an equivalently termed degree program who are not licensed in another jurisdiction and have tested or need to test.

Certified Addictions Practitioner Assistant by Reciprocity  - This is intended for those with a associates degree in a human behavioral discipline who hold a similar license in another jurisdiction.

Certified Addictions Practitioner by Examination  - This is intended for those with a bachelor's degree in a human behavioral discipline who are not licensed in another jurisdiction and have tested or need to test.

Certified Addictions Practitioner by Experience - This is intended for those with a bachelor's degree in a human behavioral discipline, other than a degree in addiction therapy and 2,000 hours of supervised work experience as a certified addictions practitioner assistant or equivalent.

Certified Addictions Practitioner by Reciprocity  - This is intended for those with a bachelor's degree in a human behavioral discipline who hold a similar license in another jurisdiction.

Provisional Addictions Therapist - This is intended for those with a master's degree in addictionology or related field who need to pass their examination and earn supervised experience.

Completing Provisional - This is intended for those who have received their provisional license and have completed all requirements for independent licensure. 

Licensed Addictions Therapist by Examination  - This is intended for those with a master's degree in addictionology or related field who are not independently licensed in another jurisdiction, have completed their experience, and may need to sit for the examination. Please note, this method does not permit supervised practice while the applicant tests.  If you are seeking approval to test and need to practice, please consider the provisional method. If you hold a current Wyoming Provisional (PAT) license DO NOT use this application, please apply by Completing Provisional. 

Licensed Addictions Therapist by Reciprocity  - This is intended for those with a master's degree in a human behavioral discipline who hold a similar license in another jurisdiction.

Licensed Addictions Therapist as a Second License - This is intended for those already licensed in Wyoming as an LPC, LMFT or LCSW.  

If you previously held a Wyoming license but failed to timely renew, please seek the relicensure application on the Renewal page.

Other Forms

Address and Name Change Form - To  change your name and/or address with the Board. 

Replacement Wall Certificate or Pocket Card Form - To  request a replacement wall certificate or pocket card.

Verification Form (Wyoming License to another state) - To  request your Wyoming license be verified to another jurisdiction or entity.

Verification of Other State License - To  have another licensing jurisdiction verify your information to Wyoming.

Disclosure Statement Requirements - To review what is required on a license or certificate holder's disclosure statement.

Fingerprint Instructions

Transcript Evaluations:

Supervision Forms

Supervision Agreement - To request approval to practice under a supervisor.

VESE Form - To have a supervisor report completed supervision hours.

Addendum to VESE - To  report additional hours from a previous submission. 

CMHW Experience Report- To have a supervisor report completed supervision hours.

National Practitioner Data Bank Query

The Board queries the National Practitioner Data Bank when applicants and licensees submit new and renewal applications in order to determine whether any other state has reported an adverse action against a licensed mental health professionals or any healthcare related field. By submitting this application and by remaining licensed with the Board, you agree that the Board may submit these queries and take appropriate disciplinary action based on information these queries reveal.

Counseling Compact

The Counseling Compact allows eligible licensed counselors an alternative method for providing services in other compact member states. The Wyoming Board is a member of the Counseling Compact. To learn more, go to the Compact page.