Hiring in Spring 2026
Licensed Telehealth Therapists in Washington State
This position starts part time with the expectation to progress into full time (minimum 25 weekly sessions) as you build your caseload.
Why Work With Us
Trans and queer people deserve more than acceptance. We deserve care that affirms and celebrates our full humanity, recognizing identity as a source of strength rather than a pathology. Femme & Them is a queer- and trans-led practice where affirming therapy means more than words: it means practicing intersectional, trauma-informed care that addresses the realities of race, culture, gender, sexuality, and neurodiversity.
We’re building more than a practice — we’re building a movement toward sustainable, affirming mental health care led by queer and trans clinicians. Our intention is to grow a team of therapists who see themselves not only as providers, but as long-term leadership members helping shape the future of affirming therapy in Washington State. While we can’t promise where every path will lead, our goal is to invest in your growth, create opportunities for leadership, and cultivate a community where both clients and clinicians can thrive together.
What We’re Looking For
We’re looking for a clinician who is not only passionate about providing affirming care, but also excited to grow with a practice that invests deeply in its team. Femme & Them is building a long-term, queer- and trans-led organization. e’re seeking someone who envisions becoming part of that journey, potentially as a long-term leadership member helping shape the future of affirming mental health care in Washington State.
While there are no promises of advancement, our intention is to nurture leadership, creativity, and sustainability for every clinician who joins us.
The Communities You’ll Support
Our practice centers communities who are often underserved. We are specifically looking for someone who is prepared to work with:
Transmasculine and nonbinary teens and adults across the lifespan
ADHD, Autistic, and AuDHD clients who deserve to be understood, not “fixed”
Trauma survivors reclaiming their narratives
Insurance clients who may otherwise struggle to find affirming care in-network
Meet your Supervisor
I’m Cappy Shapiro (they/them), a Licensed Independent Clinical Social Worker and co-founder of Femme & Them, PLLC.
My Approach to Supervision
In supervision, I show up the same way I do in therapy: grounded, curious, and collaborative. I see supervision as a shared exploration; a space to connect theory with lived experience, and to support your growth as a clinician and a human.
My approach is relational and reflective, with an emphasis on helping you find your own authentic voice. We might explore countertransference, attachment dynamics, or somatic cues in session; always with compassion and respect for your process. I value independence and creativity, and I love working with supervisees who are curious about integrative, affirming therapy for queer, trans, and neurodivergent communities.
At the heart of it, I believe good therapy, and good supervision, helps us feel aligned within ourselves and allows for expansion and connection.
About Cappy
Outside of therapy, I love spending time outdoors with my kids and tending to small land projects. I was diagnosed with ADHD/ADD in my 30s, which has explained a lot about how I navigate the world. In recent years I have taken an unexpected interest in paranormal—ufology, cryptozoology, and aliens. I also love playing laser tag and reading about my special interests du jour.
The best things in my life are forests, endless curiosity, learning, working with my clients, and my family.
Position
Requirements:
Current Washington State License (we are looking to hire someone whose license is not pending at this time)
Washington State residency
Knowledge of and experience with trans and queer
communitiesSense of humor
Able to collaborate effectively with neurodivergent coworkers
Understanding of and embodiment of decolonial psychology
Excitement for continuous professional growth and learning across modalities (e.g., ACT, Somatic, Brainspotting, IFS)
Availability to see 25+ clients per week
Access to a private, confidential space for telehealth sessions
Reliable high-speed internet connection
Computer with camera for telehealth
Cell phone capable of installing the iPlum
appModerate tech proficiency and the ability to troubleshoot issues independently
Compensation &
Benefits:
Clinical (billable): $43/hour (increase after 6 months)
Administrative (non-billable): $22/hour (increase after 6 months)
Billing and insurance support provided by the practice
Fully remote position available anywhere within Washington State
Flexible scheduling — set your own hours
Comprehensive telehealth platform (Sessions Health)
Sick time: 1 hour per 40 hours worked
Monthly tech stipend (internet/phone)
Paid supervision toward licensure (LMHC, LICSW, PMH-C)
Copywriting, SEO, and marketing mentorship for private practice skill-building
Long-term leadership development opportunities as the practice grows
Health and dental benefits through Kaiser and Delta Dental - 50% paid by the practice
To apply, please submit your resume and a note explaining your interest in working for our group using the form provided below.
Accommodations are available for applicants with disabilities during the hiring process upon request. To request, please email hello@femmeandthem.co