The Practice Library
The Practice Library™ includes curated reflections, clinical insights, and educational resources drawn from my work in therapy, clinical supervision, and systems consultation.
These writings are designed to support thoughtful clinical growth beyond the therapy session — particularly for clinicians seeking to strengthen documentation, clinical reasoning, and ethical practice.
If you are a clinician in Washington seeking supervision or consultation, or would like to receive updates as new resources are added:
All content is the intellectual property of SB Webb Counseling & Consulting PLLC and is protected by copyright. Materials are shared for informational purposes only and are not a substitute for individualized clinical care.
Beyond 90837: Are You Ordering the Entrée and Forgetting the Sides?
Most therapists are fluent in CPT 90837. It’s the entrée of outpatient psychotherapy. But many clinicians overlook the “sides” — add-on codes like interactive complexity (90785) and brief behavioral assessments (96127) that reflect the full scope of clinical work. In this Practice Library article, Shannon Webb, LICSW explains when these codes are appropriate, how to document them clearly, and how accurate coding supports compliance, audit protection, and financial sustainability. Clinical supervision available in Washington. Consultation offered in WA & ID at sbwebbcounselingconsulting.org.
Documentation Is Clinical Thinking Made Visible: Writing Strong Mental Health Progress Notes
Strong clinical notes are not narratives. They are structured demonstrations of clinical judgment. In this Practice Library article, Shannon Webb, LICSW examines how effective progress notes should clearly reflect symptom presentation, functional impairment, intervention strategy, and response to treatment. Documentation is not busywork — it is how therapists make clinical thinking visible and defensible in outpatient practice. Clinical supervision available in Washington. Consultation offered in WA & ID at sbwebbcounselingconsulting.org.
Medical Necessity: Writing With Clinical Clarity
If your documentation cannot clearly demonstrate medical necessity, your work may not withstand audit scrutiny. Medical necessity is not about justifying care — it is about clearly articulating symptom severity, functional impairment, diagnosis, and targeted treatment. In this Practice Library article, Shannon Webb, LICSW explains how strong medical necessity documentation protects your clients, your license, and the financial sustainability of your practice. Clinical supervision available in Washington. Consultation offered in WA & ID at sbwebbcounselingconsulting.org.
Treatment Planning: Where the Golden Thread Either Holds or Breaks
Treatment plan reviews are not paperwork — they are clinical leadership in action.
For mental health clinicians in Washington and Idaho, treatment plan reviews are critical checkpoints for diagnostic accuracy, symptom progression, medical necessity, and audit-ready documentation. In The Practice Library, Shannon Webb, LICSW breaks down how intentional review processes protect clients, strengthen compliance, and elevate ethical behavioral health care.
Clinical supervision available in Washington. Consultation offered in WA & ID at sbwebbcounselingconsulting.org.
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New articles, clinical reflections, and resources are added periodically.
If this way of thinking about clinical practice, trauma, and professional development resonates, there are several ways to work together.
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