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For Licensed Clinical Social Workers · telehealth (behavioral health)

Build the after-hours private practice you’ve been mapping in your head — cash-pay telehealth, AI-drafted note, paid in 48 hours.

You’ve been a clinic LCSW for years. You’re good at it. You want 8 evening telehealth sessions a week — your own clients, your own modality (CBT, EFT, EMDR, ACT), your own rate — without quitting your day job to build a website from scratch. CaraLoom is a marketplace + practice suite designed for clinicians who want a real independent practice without the overhead. Cash-pay clients search by modality, specialty, identity-fit, insurance status; the matching engine routes them to you. Sessions run on our integrated video. AI strengthens your psychotherapy note in-session. Funds settle 1–2 days after the note is signed.

SafetyShield flags risk language so you don’t miss a cue under a 7 PM deadline.

See full pricing
Verified-settlement payouts HIPAA-ready (Vertex AI BAA) Identity + license verified
Transparent take

12 / 8 / 5 %

No agency markup. No insurance billing overhead unless you opt-in. No chasing checks.

Starter$0/mo12% per booking
Pro$49/mo8% per booking
Pro+$149/mo5% per booking

Funds settle to your bank 1–2 business days after the note is signed. Pro / Pro+ unlock instant payouts (1.5 % fee).

Why it pays

The economics, plainly.

Cash-pay psychotherapy rates

$100–$200/45 min in most metros; $150–$275 in NYC / SF / Boston / DC.

Illustrative range

Transparent take · 12/8/5%

8 sessions/wk × $140 = $4,816/mo gross; Pro keeps ~$4,432/mo.

Illustrative range

Skip the LCSW Medicare 75% haircut

LCSWs are paid at 75% of MPFS for psychotherapy under Part B (BBA 1997). Cash-pay sidesteps it entirely.

Pain → Solved

What we’ve heard from private-practice-supplementer LCSWs. And what we’re doing about it.

Pain
How CaraLoom solves it
Clinic schedule forces you into 9-to-5
You publish your evening / weekend availability; no overlap required with day-job hours.
Marketing private practice from zero
Built-in patient demand pipeline + vanity URL (caraloom.com/your-slug) on Pro+.
EHR + video + e-sign costs $100+/mo
Pro at $49/mo includes AI-strengthen, e-sign audit trail, secure video, calendar, payments.
Psychotherapy notes take 15+ min/session
AI-strengthen restructures + surfaces missing-detail prompts; never invents clinical facts.
No-shows + late cancels eat your evening
Family pays up-front; 24-hour cancellation kill fee goes to you.
Honest answers

The questions a skeptical clinician asks first.

No marketing fluff. If CaraLoom doesn’t solve something, we say so.

Reserve your Pro spot in 60 seconds.

Your 8 % service rate locks in for life — even after we flip on subscription billing. No charge today. No credit card. We’ll email you the moment Pro goes live.

CaraLoom is a software marketplace — not a bank, escrow agent, or money transmitter. Funds are secured up-front through Stripe Connect and settle to the clinician once the visit is documented and verified.

CaraLoom is a marketplace — clinicians are independent licensed professionals, not employees. We verify and monitor licenses, though no screening is exhaustive. By booking, you agree to our Terms.

CaraLoom

The world's AI-powered home healthcare marketplace — bridging clinical rigor with human warmth.

care@caraloom.com

Serving families nationwide

HIPAA-ready End-to-end encrypted Background-checked

CaraLoom is a technology marketplace, not a direct care provider. Clinicians are independent licensed professionals. We verify identity and licenses at onboarding and monitor them on an ongoing basis; because no screening is exhaustive, use your judgment when choosing care. See our Trust & Safety page.

A marketplace, not a care provider

CaraLoom is a technology marketplace and care-coordination platform — not a healthcare provider, staffing agency, or employer of clinicians. Clinicians are independent, licensed professionals who run their own practices. Bookings, rates, and care plans are agreements made directly between families and clinicians.

Payments & settlement

CaraLoom is a software platform and not a bank, escrow agent, or money transmitter. We utilize third-party payment processors (Stripe and Stripe Connect) to facilitate direct clinician-to-family transactions based on verified service-delivery milestones. Funds are secured up-front at booking and scheduled for payout once the clinician signs the clinical visit log.

Profiles & verification

Profiles, reviews, and messages are created by our users. We verify each clinician's identity and license at onboarding and monitor license status on an ongoing basis. No screening is ever exhaustive, so we encourage families to interview clinicians and use their own judgment when choosing care. See what we check on our Trust & Safety page.

AI guidance

Cara and other AI features are informational and are not a substitute for professional medical advice, diagnosis, or treatment. Please talk to your physician or another qualified provider about any medical question.

Emergencies

If you are experiencing a medical emergency, call 911.

Promotions & marks

Promotional offers and referral rewards are subject to their stated terms and may change. CaraLoom℠ and “Care that comes home to you.” are service marks of CaraLoom, Inc. © 2026 CaraLoom, Inc. Your use of this site is subject to our Terms of Service and Privacy Policy.

© 2026 CaraLoom, Inc. All rights reserved. Independent clinicians, supported by intelligent technology.

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