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Speech-Language Pathologist (CCC-SLP) - 1099 Independent Contractor

Building Blocks Pediatric Therapy, LLC
Bethesda, MD Contractor
POSTED ON 10/14/2026
AVAILABLE BEFORE 2/11/2027

Pediatric Speech-Language Pathologist (CCC-SLP) - Flexible 1099 Contractor

$75–$90 per 60-minute treatment visit | Flexible schedule | You choose your service area

Building Blocks Pediatric Therapy is a small, family-owned pediatric speech and occupational therapy practice providing in-home and community-based services throughout Maryland. We’re owned and operated by a husband-and-wife therapy team - a speech-language pathologist and occupational therapist - and we’re looking for another pediatric SLP to join us as we continue to grow.

We started Building Blocks because we wanted therapy to feel personal, flexible, collaborative, and centered around what actually works for children and their families. We want working with us to feel much the same way.

A Caseload Built Around You

We know therapists have lives outside of work, and we aren't looking to dictate when, where, or how much you work.

You tell us:

  • How many clients you want
  • What days and times you want to work
  • What geographic areas you're willing to serve
  • What types of clients fit your experience and interests

We'll work to match referrals to those preferences and geographically cluster clients whenever possible to minimize unnecessary driving.

Want a handful of clients each week for extra income? Great.

Want to start small and gradually build a larger caseload? We can do that too.

You’re welcome to keep your caseload as small or as large as works for you. We just ask that, once you accept a client, you’re able to consistently support that family at the agreed-upon treatment frequency.

There is no expectation that you cover our entire service area.

We currently have children waiting for speech therapy services in several areas of Maryland and are continuing to receive new referrals.

Why Building Blocks?

We're a small practice, and we want to keep the things we love about being small as we grow.

You'll have:

  • A highly flexible schedule
  • Control over your preferred caseload size and service area
  • The ability to accept referrals that fit your schedule and interests
  • Support from two practicing pediatric therapists who understand the realities of the job
  • Clients and referrals provided to you
  • Electronic medical records and documentation through SimplePractice
  • Billing and family payments handled by Building Blocks
  • Opportunities to collaborate across speech and OT when helpful
  • The ability to grow your caseload over time if you choose

Our goal is to handle the business side so you can focus primarily on being a therapist.

Compensation

$75–$90 per completed 60-minute treatment visit.

Evaluations are compensated at a higher rate to account for assessment, scoring, documentation, and plan-of-care development.

This is a 1099 independent contractor position. Contractors are responsible for their own taxes, transportation, professional liability insurance, and other independent contractor expenses.

What Therapy Looks Like With Us

We provide individualized, play-based pediatric speech and language therapy in children's natural environments. We believe therapy should feel engaging, meaningful, relationship-based, and supportive of communication that makes a difference in everyday life.

Our clients may benefit from support with:

  • Speech sound development
  • Receptive and expressive language
  • Autism and ADHD
  • Gestalt language processing
  • AAC and multimodal communication
  • Social communication
  • Executive functioning as it relates to communication
  • Feeding and oral-motor development

You'll have autonomy to use your clinical judgment and develop individualized plans of care based on each child's strengths, needs, and goals.

Responsibilities

  • Complete pediatric speech-language evaluations
  • Provide individualized speech-language treatment in homes, schools, and community settings
  • Develop plans of care and functional therapy goals
  • Complete timely documentation in SimplePractice
  • Communicate and collaborate with families
  • Collaborate with other professionals when appropriate
  • Manage your agreed-upon caseload within the availability and geographic area you choose

Qualifications

Required:

  • Current Maryland Speech-Language Pathology license in good standing
  • ASHA Certificate of Clinical Competence (CCC-SLP)
  • Prior pediatric speech-language therapy experience
  • Experience working with neurodivergent children
  • Ability to independently complete pediatric evaluations, develop plans of care, and manage an ongoing pediatric caseload
  • Individual NPI
  • Professional liability insurance
  • Reliable transportation

Preferred:

  • Experience providing pediatric therapy in homes, schools, or community-based settings
  • Experience supporting children with autism and ADHD
  • Experience with AAC and multimodal communication
  • Knowledge of or experience supporting gestalt language processors
  • Experience with speech sound disorders and motor speech disorders
  • Experience addressing receptive, expressive, and social-pragmatic language
  • Pediatric feeding and/or oral-motor experience
  • Experience with parent coaching and caregiver education
  • Experience collaborating with OTs, psychologists, educators, ABA providers, and other members of a child's care team

About Us

Building Blocks Pediatric Therapy provides in-home pediatric occupational and speech therapy personalized to each child and family's needs.

We're Hannah and Zack, a husband-and-wife team made up of an SLP and OT. Because we work across disciplines every day, collaboration is a natural part of how we practice. We're intentionally building a practice that stays personal as it grows - for our families and for the therapists who work with us.

If you're looking for a flexible way to add pediatric clients to your week without taking on the administrative work of running your own practice, we'd love to hear from you.

Job Type: 1099 Independent Contractor
Compensation: $75–$90 per completed 60-minute treatment visit
Schedule: Completely flexible based on clinician availability
Setting: In-home, school, and community-based
Service Area: Therapist-selected areas of Maryland

Pay: $75.00 - $90.00 per hour

Expected hours: 1.0 – 10.0 per week

Benefits:

  • Flexible schedule

Work Location: In person

Salary : $75 - $90

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