How to Get a Midwife, Direct Entry License in Washington
Washington requires a midwife, direct entry license to offer professional services. State fees are $1996, which is above the $1821 national average.
Last verified: 2022-03-01 · Source: Institute for Justice, License to Work 3
Quick Facts
- License Required
- Yes
- Licensing Fees
- $1996(above the $1821 national average)
- Exams Required
- 3
- Minimum Age
- 21 years old
- Minimum Education
- 12th grade
What This Means for Your Home Midwife, Direct Entry Business
Washington makes it possible to run a home midwife, direct entry business, but there's a licensing path to follow first. Every state requires a midwife, direct entry license, so this is standard nationwide.
At $1996, the licensing cost is close to the $1821 national average. The real investment is time, not money.
Once licensed, Washington offers advantages: keep in mind the 6.5% sales tax on services. Plus, LLC formation is just $200. Your total non-training startup can be under $1,000.
Important detail: Even though you're working from home, you'll still need a shop license from the Washington licensing board. Your home workspace must meet their sanitation and safety standards. This is separate from your personal midwife, direct entry license and is something many first-time home-based midwife, direct entrys overlook.
How to Start Your Home Midwife, Direct Entry Business
Follow these steps to legally launch your business in Washington. Most people complete this within 2-4 weeks.
Complete Midwife, Direct Entry Training
Enroll in a Washington-approved midwife, direct entry school.
Tip: You must apply for your exams within a set timeframe after completing your education — don't wait.
Pass the Required Exams ($1996)
Once you've finished training, register for the required exam through the Washington licensing board. You must pass all 3 exams.
Form Your Washington LLC ($200 state fee)
Register your business with the Washington Secretary of State. An LLC protects your personal assets if something goes wrong — a client injury, a lawsuit, or unpaid bills. It also makes you look more professional to clients and helps with taxes.
Fast track: Services like ZenBusiness can form your Washington LLC online for $0 + the $200 state filing fee. They handle the paperwork and registered agent service.
Get a Home Occupation Permit & Shop License
You need two things to legally operate from home:
- Home occupation permit — from your county clerk or zoning office. This confirms your neighborhood allows a business from your home. Fees vary by county ($25-$100 typically).
- Shop license — from the Washington licensing board. Your home workspace must meet their sanitation standards, including proper ventilation, sanitary station setup, and waste disposal.
Get Business Insurance
General liability insurance protects you if a client has an allergic reaction, slips in your home, or claims damage. Most policies for home-based midwife, direct entrys cost $15-$40/month. It's not legally required in Washington, but going without it is a real risk when you're working with clients in your home.
Register for State & Federal Taxes
Washington charges 6.5% sales tax on services, so you'll need to register. You also need to:
- Get an EIN (Employer Identification Number) from the IRS — free, takes 5 minutes online
- Register with the Washington Department of Revenue for state income tax
Book Your First Clients
You're legal and ready. Start building your client base:
- Set up an online booking system (Square Appointments, Booksy, or Vagaro are popular with home-based midwife, direct entrys)
- Create a Google Business Profile so local clients can find you
- Post your work on Instagram — before-and-afters are the #1 way home midwife, direct entrys attract clients
- Ask early clients for Google reviews — reviews are critical for home-based businesses without storefront visibility
Total Estimated Startup Costs
| Exam fees + license | $1996 |
| Washington LLC formation | $200 |
| Home occupation permit | $25 - $100 |
| Business insurance (first year) | $180 - $480 |
| Total (excluding training/school) | $2401 - $2776 |
* School tuition varies widely. Some community colleges offer programs under $5,000. The apprenticeship path avoids tuition entirely.
Midwife, Direct Entry Earning Potential in Washington
Based on Bureau of Labor Statistics data (May 2024), here's what nurse midwives earn in Washington. There are approximately 150 employed in the state.
Median Hourly
$69.71
Median Annual
$145,000
Entry Level
$50.96/hr
Top Earners
$98.86/hr
| Percentile | Hourly | Annual (est.) |
|---|---|---|
| 10th (entry level) | $50.96 | $105,997 |
| 25th | $58.85 | $122,408 |
| 50th (median) | $69.71 | $145,000 |
| 75th | $81.60 | $169,728 |
| 90th (top earners) | $98.86 | $205,629 |
Note for home-based operators: BLS wage data reflects employed (W-2) workers. Self-employed midwife, direct entrys working from home often charge 20-40% more since they set their own rates and don't pay salon/shop rent. At the median rate, working 30 hours/week would gross roughly $141,372/year as an independent operator.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024
Washington Business Setup Costs & Details
Here's what you need to know about setting up any home business in Washington — beyond the midwife, direct entry license itself.
Compare Midwife, Direct Entry Requirements in Nearby States
See how Washington's requirements compare to neighboring states.
| State | License? | Fees | Training |
|---|---|---|---|
| Washington(you) | Yes | $1996 | 1095 days |
| California | Yes | $1449 | 1095 days |
| Idaho | Yes | $2300 | 730 days |
| Oregon | Yes | $1950 | 1095 days |
Key takeaway: All of Washington's neighbors require a midwife, direct entry license. If cost is your main concern, California has the lowest fees at $1449.
Frequently Asked Questions
How much does it cost to get a midwife, direct entry license in Washington?
What exams do I need to pass for a Washington midwife, direct entry license?
Can I run a midwife, direct entry business from my home in Washington?
Do I need to collect sales tax as a midwife, direct entry in Washington?
How much does an LLC cost in Washington?
More Midwife, Direct Entry Resources for Washington
Midwife, Direct Entry Salary in Washington
BLS wage data, percentiles, and state rankings
License Cost Breakdown
Complete cost analysis: fees, training, exams, LLC
Best States for Midwife, Direct Entrys
All 50 states ranked by wages, fees, and costs
No-License Jobs in Washington
Occupations you can start without a license
Pricing Calculator
Figure out how much to charge clients
Startup Cost Calculator
Personalized budget for your home business
Sources & Disclaimer
Data Sources
- License data: Institute for Justice, License to Work 3 (2022). Independently verified dataset covering licensing requirements across all 50 states + DC.
- LLC and tax data: Washington Secretary of State and Washington Department of Revenue.
Disclaimer: This guide was last verified 2022-03-01. Licensing laws and fees change — always confirm current requirements directly with the Washington licensing board before making business decisions. This site provides general information for educational purposes and is not legal advice.