Community & Social Service

How much does a mental health and substance abuse social worker make?

The median mental health and substance abuse social worker in the United States earns $60,280 per year, about $28.98 an hour. That is the midpoint of the profession: half of all mental health and substance abuse social workers earn more, and half earn less.

Median annual salary
$60,280
Median hourly wage
$28.98 /hr
Employed in the U.S.
132,810

Source: BLS OEWS, May 2025. SOC code 21-1023.

Mental health and substance abuse social worker salary range

Pay for mental health and substance abuse social workers spans a wide band. The lowest paid 10 percent earn under $39,740 a year, while the highest paid 10 percent take home more than $104,170. The average (mean) wage of $68,030 runs a bit higher than the median, which is normal for jobs where a group of top earners pulls the average up.

Percentile Annual Hourly
10th percentile $39,740 $19.11 Lowest paid
25th percentile $47,070 $22.63
Median (50th) $60,280 $28.98 Midpoint
75th percentile $79,730 $38.33
90th percentile $104,170 $50.08 Highest paid

Figures are national wage estimates for mental health and substance abuse social workers (SOC 21-1023), U.S. Bureau of Labor Statistics, OEWS, May 2025.

Mental health and substance abuse social worker salary by state

Where you work changes the paycheck. Mental health and substance abuse social workers earn the most in New York at $79,380 a year, and the least in South Carolina at $39,930. The table below lists every state with published data, ranked by median annual salary.

State Median annual Employed
New York $79,380 14,820
California $79,000 19,860
Connecticut $78,640 1,540
Minnesota $75,020 3,590
Maryland $73,580 2,250
District of Columbia $73,310 510
Vermont $73,210 320
Washington $70,460 3,490
Oregon $68,210 2,230
New Jersey $66,590 2,420
New Mexico $65,640 800
Colorado $65,620 1,640
Virginia $64,240 3,670
New Hampshire $63,900 320
Nevada $62,900 1,100
Massachusetts $62,500 7,440
Wisconsin $61,860 1,880
Rhode Island $60,990 800
North Dakota $60,980 240
Michigan $60,830 4,620
Delaware $60,060 510
Wyoming $59,310 200
Arkansas $58,590 1,040
North Carolina $58,210 3,690
Maine $57,050 1,860
Alaska $56,710 250
Kansas $56,330 1,620
Hawaii $54,390 N/A
Idaho $52,520 510
Georgia $52,030 1,330
Florida $51,590 5,150
Utah $50,770 1,240
West Virginia $50,070 420
Illinois $49,960 3,460
Missouri $49,560 1,640
Mississippi $48,970 920
South Dakota $48,920 230
Iowa $48,530 1,200
Indiana $48,300 2,490
Pennsylvania $48,290 3,500
Louisiana $47,100 970
Texas $46,630 8,220
Tennessee $46,500 2,220
Arizona $46,380 3,690
Ohio $46,080 6,050
Montana $45,160 740
Nebraska $43,240 900
Oklahoma $43,120 1,780
Kentucky $42,570 1,360
Alabama $41,500 740
South Carolina $39,930 720

State median wages for mental health and substance abuse social workers (SOC 21-1023), U.S. Bureau of Labor Statistics, OEWS state files, May 2025. States where the BLS does not publish a median are not shown.

Job outlook for mental health and substance abuse social workers

The BLS projects employment of mental health and substance abuse social workers to grow 10.3% from 2025 to 2035. That is faster than the 3.5% average for all occupations. That works out to roughly 138,900 jobs in 2025 moving toward 153,200 by 2035.

Across the decade, the BLS expects about 12,500 openings a year for mental health and substance abuse social workers. Most come from the need to replace workers who move to other jobs or leave the workforce, on top of any new positions from growth.

Source: U.S. Bureau of Labor Statistics, Employment Projections program, 2025-35 (Table 1.2, Occupational projections and worker characteristics).

How to become a mental health and substance abuse social worker

The typical entry-level education for mental health and substance abuse social workers is a master's degree, according to the BLS. New hires typically complete an internship or residency to reach full competency.

Education, training, and experience data: U.S. Bureau of Labor Statistics, Employment Projections program.

What affects how much a mental health and substance abuse social worker earns

Employer, license or certification, caseload, and region shape pay. Government agencies and clinical settings tend to pay above nonprofit and entry-level roles.

Location is one of the clearest factors. The gap between the top paying state (New York, $79,380) and the lowest (South Carolina, $39,930) shows how much geography alone can move the number, before experience or specialization.

About 132,810 people work as mental health and substance abuse social workers in the United States. At $60,280 a year, the job pays above the $50,980 median for all U.S. jobs.

Mental health and substance abuse social worker salary FAQ

How much does a mental health and substance abuse social worker make an hour?

The median hourly wage for a mental health and substance abuse social worker is $28.98. The middle half of mental health and substance abuse social workers earn between $22.63 and $38.33 per hour.

What is the highest mental health and substance abuse social worker salary?

The highest paid 10 percent of mental health and substance abuse social workers earn more than $104,170 per year. Top earners usually have the most experience and work in the best paying regions and industries.

How much does a mental health and substance abuse social worker make a year?

The median annual salary for a mental health and substance abuse social worker is $60,280. The average (mean) wage of $68,030 runs a bit higher than the median, which is normal for jobs where a group of top earners pulls the average up.

Is being a mental health and substance abuse social worker a well paid job?

At $60,280 a year, a mental health and substance abuse social worker earns above the $50,980 median for all U.S. jobs. About 132,810 people work as mental health and substance abuse social workers in the United States.

Which state pays mental health and substance abuse social workers the most?

New York has the highest median salary for mental health and substance abuse social workers at $79,380 a year. California ($79,000) and Connecticut ($78,640) follow. State medians come from the BLS OEWS state files, May 2025.

Is being a mental health and substance abuse social worker a good career?

Employment of mental health and substance abuse social workers is projected to grow 10.3% from 2025 to 2035, faster than the 3.5% average for all occupations. The BLS projects about 12,500 openings each year, from growth and from workers leaving the occupation.

Do you need a degree to become a mental health and substance abuse social worker?

The BLS lists the typical entry-level education for mental health and substance abuse social workers as a master's degree, so a college degree is usually expected.

Related salaries

See more in Community & Social Service salaries or browse the highest paying jobs in the U.S.

Sources. National and state wage and employment figures: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 and the OEWS state files. Growth, openings, education, and training: U.S. Bureau of Labor Statistics, Employment Projections program (2025–2035). Every figure on this page is published by the BLS and is shown without adjustment. View the originals at bls.gov/oes and bls.gov/emp. Last updated 2026-05-15.