This study aimed to determine the need for practical and academic training in Spanish for bilingual social work students. Using an exploratory method with a qualitative approach, the researcher interviewed bilingual MSW students who were providing counseling services in Spanish and who had not received any training in clinical Spanish. The study used purposive sampling to interview and evaluate participants’ perception of competence in providing services to Spanish speakers. Through data analysis, the researcher identified three themes: linguistic issues in clinical terminology, discomfort feelings, and language expectation. A limitation of this study included that the results could not be generalized to the larger population due to the small sample size. Recommendations included support from bilingual field instructors to process cases in Spanish and to strongly recommend students to participate in the Certificate Program in Healthcare at CSUSB to assist students who wish to continue working with Spanish speaking clients.