Application – Licensed Intake Assessor – LCSW, LMHC, LMFT – Lakeland Name* First Last Email* Phone*Resume Upload* Drop files here or Describe Your Qualifications As They Relate To This Position*Do you have prior experience completing Medicaid or commercial Outpatient Intakes?*YesNoDo you hold an LMHC, LCSW or LMFT License in the State of Florida?*YesNoHave you completed the following level of education: Masters?*YesNoAre you in Lakeland, Florida?*YesNoWhere Did You Hear About Us?*Our WebsiteFacebookLinkedInOther Social MediaEmployee/Contractor ReferralSchool (Please specify below)IndeedCareerBuilderOther (Please specify below)*If School/Other, Please Specify:
