Can LMSWs diagnose in Texas?

Yes — LMSWs in Texas can participate in diagnosing, but only under clinical supervision.

To engage in clinical social work (including diagnosing), an LMSW must:

  • work in a clinical setting

  • be under the supervision of an LCSW-S

  • follow an approved supervision plan

This is often referred to as LMSW-AP (Advanced Practice) status.

Under these conditions, LMSWs can:

  • conduct assessments

  • contribute to diagnoses

  • provide psychotherapy

However, they cannot independently diagnose or practice clinically without supervision.

Dave Hanson