Guide
Licensure & where you can practice.
For remote and telehealth roles, the question that matters most isn’t where you live — it’s where your client is sitting during the session. Here’s the short version.
The core rule
In most cases you must be licensed in the state where the client is physically located at the time of the appointment. A remote role advertised as “US remote” usually means the employer wants clinicians licensed in specific states — check the listing carefully.
Interstate compacts
Several professions have compacts that streamline practice across member states — for example the Counseling Compact, the Social Work Licensure Compact, and PSYPACT for psychologists. See our PSYPACT states guide for the psychology side.
What to verify before applying
- Which states the employer requires licensure in.
- Whether they reimburse compact application or privilege-to-practice fees.
- Whether supervision hours (for associate-level clinicians) are supported.
This is general information, not legal advice. Always confirm requirements with your state licensing board.