Contacts
Board of Certification of Community Health Workers
The Details
What you need
You will need your Health Professions Licensing Portal username and password. If you do not have an account yet, you must create one.
If you are requesting changes to your certificate, you need your:
- Certificate number
- Social Security Number
- Date of birth
For a name change: You must submit an online name change request along with a copy of supporting documents. Supporting documents include:
- Marriage certificate
- Divorce decree
- Court documents
- Other documentation
For an address change: You must submit an online address change request.
For a duplicate certificate: You can download a copy of your certificate online. Paper copies are no longer being issued.
Fees
Pay by check or money order, payable to the Commonwealth of Massachusetts
Do NOT send cash or electronic funds transfers.
| Name | Fee | Unit |
|---|---|---|
| Name change with new license | $27 | Per license |
How to apply
Go to the Health Professions Licensing Portal and create an account, or log into your existing account. If this is your first time using this new portal, please visit Health Professions Licensing System User Guide.
More info
If you are requesting a name change and you have a current or expired license with another board within the Bureau, the requested name change will be effective for all boards
All addresses are subject to disclosure on request (MGL c. 4, s. 7)
MA Board of Certification of Community Health Workers
250 Washington Street
Boston, MA 02108