LCSW stands for Licensed Clinical Social Worker. As an LCSW, your primary responsibilities lie in helping clients deal with chronic problems by using therapy to improve their mental health. The patient groups you focus on often depend on your specialty. For example, trauma LCSWs work with patient groups who experience violence and child LCSWs are experts in pediatric home- or school-based therapy. When you are a remote LCSW, your duties shift to the virtual world, and you provide support and recommend treatment through online or phone communication. Instead of traveling to patients, you work from a home office.