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ASHA CCC-SLP Certificate of Clinical Competence Exam Practice Test

54 questions available

The Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) is the nationally recognized professional credential from the American Speech-Language-Hearing Association (ASHA). Awarded upon meeting rigorous academic, clinical practicum, and examination standards, it signifies that a professional has demonstrated the knowledge and skills essential for independent, entry-level practice. Earning the CCC-SLP validates a clinician's commitment to evidence-based practice, ethical standards, and the highest level of clinical service across the full scope of practice in speech, language, swallowing, and related disorders. It is the benchmark credential required for employment in many healthcare, educational, and private practice settings, and is often mandated for state licensure and third-party reimbursement. Holding the CCC-SLP distinguishes you as a qualified professional dedicated to ongoing professional development and adherence to ASHA's Code of Ethics.

54 Practice Questions
54 minutes Practice Time
Start Practice
The bank 54 Practice questions checked against the official objectives.
ETS/ASHA54 practice questions26 answers with a checkable referenceBlueprint 1.0Bank updated 2026-05-04

Sample Questions

Try a few questions to see what the full exam is like.

26 of 54 answers carry a checkable reference.

Planning, Implementation, and Evaluation of Treatment

A 10-year-old student receives a speech-generating device but uses it only during therapy drills. The classroom aide anticipates needs, peers rarely wait, and vocabulary for preferred activities is buried. Which intervention step is most important?

Foundations and Professional Practice

After a new diagnosis, the parent of a 5-year-old newly identified with hearing loss says, 'I should have noticed sooner; this is my fault.' The SLP has assessment results, three treatment options, and only ten minutes left in the visit. Which response best reflects appropriate counseling within SLP practice?

Planning, Implementation, and Evaluation of Treatment

A 47-year-old project manager after TBI returns to work but misses deadlines, loses track in meetings, and performs well on simple memory drills. Fatigue increases by afternoon. Which treatment plan is most defensible?

Foundations and Professional Practice

A clinician reads a study of a new fluency app for adults with Parkinson disease. Participants improved after six weeks, but there was no control group, therapy intensity varied, and outcome ratings were completed by the treating clinicians. Which limitation most directly weakens causal interpretation?

Foundations and Professional Practice

After a new diagnosis, the parent of a 7-year-old newly diagnosed with childhood apraxia of speech says, 'I should have noticed sooner; this is my fault.' The SLP has assessment results, three treatment options, and only ten minutes left in the visit. Which response best reflects appropriate counseling within SLP practice?

Why This Certification Opens Doors

The CCC-SLP is not merely a credential; it is the definitive standard of professional competence and credibility in the field of speech-language pathology. It is essential for career advancement, as it is a prerequisite for supervisory roles, specialized clinical positions, and teaching in many academic programs. The certification is widely recognized by employers, state licensing boards, and insurance providers as a non-negotiable marker of quality and qualification. It directly impacts your earning potential, scope of practice, and professional mobility, opening doors to opportunities that are inaccessible to non-certified clinicians. In essence, the CCC-SLP is the cornerstone of professional identity and recognition within the discipline.

Exam Blueprint

Each domain is weighted to match the real certification exam, so a full practice simulation predicts your result.

01Foundations and Professional Practice
33-34%
02Planning, Implementation, and Evaluation of Treatment
33-34%
03Screening, Assessment, Evaluation, and Diagnosis
33-34%

Exam Details CCC-SLP

Exam Code CCC-SLP
Vendor ETS/ASHA
Question Types Multiple choice (100%)

Frequently Asked Questions

What are the eligibility requirements to sit for the CCC-SLP exam?

To be eligible, you must have completed a master's or doctoral degree from a CAA-accredited program, finished a minimum of 400 clock hours of supervised clinical experience (with 25 observation hours and 375 direct client/patient contact hours), and completed a 36-week full-time Clinical Fellowship (CF) or its part-time equivalent. Your application for certification must be approved by ASHA's Council for Clinical Certification (CFCC) before you can register for the exam.

How is the exam structured and what is the passing score?

The exam consists of 133 scored multiple-choice questions and 20 unscored pilot questions, delivered over a 4-hour testing period. The scaled passing score is 162 on a scale of 100-200. The questions are designed to assess knowledge and skills across the full scope of practice as defined by the ASHA Practice Portal and the exam blueprint.

What is the difference between state licensure and the CCC-SLP?

State licensure is a legal requirement to practice speech-language pathology within a specific state, with requirements set by that state's board. The CCC-SLP is a voluntary national professional credential that signifies a higher, standardized level of clinical competence. While many states use the CCC-SLP to meet licensure requirements, the credential itself is often required for employment in hospitals, schools (in some states), and for reimbursement from Medicare and many private insurers.

How long is the certification valid, and what are the maintenance requirements?

The CCC-SLP is maintained through continuous compliance with ASHA's Certification Maintenance Standards. This requires earning 30 Professional Development Hours (PDHs) every 3-year maintenance interval, adhering to the ASHA Code of Ethics, and paying annual dues and certification fees. Failure to meet these standards will result in the loss of the credential.

What resources does ASHA provide for exam preparation?

ASHA provides an official study guide, a comprehensive exam content outline (blueprint), and a practice exam for purchase. The most critical preparation resources are your graduate course materials, clinical experiences, and a thorough review of the knowledge and skills detailed in the exam blueprint, which maps directly to the scope of practice.