COLLABORATIVE PROFESSIONALS OF NORTHERN VIRGINIA, INC. (CPNV)
MEMBERSHIP APPLICATION AND REQUIREMENTS
APPLICATION
This information will be listed on our Membership List and distributed to potential clients by other members.
Attorneys: Three years experience required in area in which you will be accepting Collaborative cases.
Mental Health and Financial Professionals: Three years of experience required. Licensure and good standing with professional liability insurance for one of the following licenses required:
a) Clinical or Counseling Psychologist – PhD, Ed.D
b) Doctorate of Psychology – Psy. D
c) Licensed Clinical Social Worker – LCSW
d) Marriage and Family Therapist – MFT
e) Psychiatrist – MD
f) Licensed Professional Counselor – LPC
I hereby apply for membership in CPNV. As a condition of membership, I certify that I will:
Attorney Applicants - Commitment and Certification of Credentials
I hereby certify that I will:
I hereby certify that I:
Mental Health Professional Applicants - Certification of Credentials
I hereby certify that I:
Financial Professional Applicants - Certification of Credentials
I hereby certify that I: