For participants who do not require a nurse to provide the enhanced level of service, one of the following: Copy of current NADD Competency Based Clinical Certification, or current NADD Dual Diagnosis Certification, or current NADD Direct-Support Professional Certification OR C . Copy of Bachelor's Degree or higher in Psychology, Education, Special Education, Counseling, Social Work, Gerontology, or Therapeutic Recreation (official or unofficial transcripts are acceptable if graduation date is indicated).