How to Become a Registered Dietitian in South Carolina

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Written by Dr. Lena Voss, RD, PhD, Last Updated: October 6, 2025

Quick Answer

As of January 1, 2024, ACEND requires a graduate degree for eligibility to take the RD exam. South Carolina’s licensure law accepts a baccalaureate or graduate degree as a qualification for licensure by examination. You must complete an ACEND-accredited program, finish supervised practice (commonly 1,200 hours), pass the CDR examination, and obtain state licensure through the SC Panel for Dietetics. The process typically takes 5-6 years, with a median annual salary of around $67,590.

South Carolina state outline map showing registered dietitian career opportunities

South Carolina offers excellent opportunities for registered dietitians across diverse healthcare settings, from the coastal hospitals of Charleston to the academic medical centers in Columbia. As the state’s population grows and healthcare needs evolve, the demand for qualified nutrition professionals remains high.

The Commission on Dietetic Registration reported that as of June 2025, there were approximately 1,449 Registered Dietitians (RDs) and Registered Dietitian Nutritionists (RDNs) practicing in South Carolina. According to the Bureau of Labor Statistics, the average salary for nutritionists and dietitians in the state was $67,590 as of May 2024. Early-career professionals earned approximately $56,970, while experienced dietitians earned $90,600 or more. Additional salary data from Salary.com indicates that the 2024 average RD salary in South Carolina is approximately $67,148.

The SC Panel for Dietetics (under the South Carolina Department of Labor, Licensing, and Regulation) requires all practicing dietitians or tele-dietetics professionals to hold a valid SC license. According to SC statute § 40-20-60, licensure may be granted by registration (requiring a current CDR credential) or by examination (requiring passage of an approved exam and holding a bachelor’s or graduate degree in a related field of nutrition). Under SC law § 40-20-30, it is unlawful for persons not licensed under this chapter to hold themselves out as “dietitian,” “licensed dietitian,” or to use “LD” or any combination thereof. Learn about becoming a nutritionist in South Carolina here.

Critical 2024 CDR Exam Eligibility Update: Beginning January 1, 2024, ACEND changed its eligibility rules – new RD exam candidates must hold a graduate degree to sit for the CDR examination. However, this is separate from state licensure laws. South Carolina’s licensure rules currently permit a bachelor’s or graduate degree as part of the examination path for state licensure. Aspiring RDs should plan to complete graduate-level education to meet both CDR exam eligibility and competitive career standards.

Follow the step-by-step process or choose what situation best describes you:

  1. Complete Graduate-Level Registered Dietitian Education in South Carolina
  2. Apply for Your Dietetic Internship (DI) in South Carolina
  3. Pass the Commission on Dietetic Registration Examination
  4. Apply for State Licensure as a Registered Dietitian in SC
  5. Maintain Your License and Pursue Specialty Certifications

Step 1

Complete Graduate-Level Registered Dietitian Education in South Carolina

To become a registered dietitian in South Carolina, you must complete education from a regionally accredited college or university. The program must be accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) to qualify you for the Commission on Dietetic Registration (CDR) exam.

The following bachelors and Master’s programs offer career-focused instruction delivered by trained nutritionists with experience in the field. Find out more what each individual course of study offers through the locations below.

Featured Nutritionist Programs

Understanding the 2024 ACEND Change: Beginning January 1, 2024, ACEND requires completion of a graduate degree for all new RD exam candidates seeking CDR exam eligibility. This means new candidates need either:

  • An ACEND-accredited graduate program that combines coursework with supervised practice hours (degree-granting program)
  • A bachelor’s degree in dietetics, followed by a graduate degree and a separate dietetic internship

Note: This ACEND requirement for CDR exam eligibility is separate from South Carolina’s state licensure laws. SC statute currently permits licensure by examination for individuals holding a bachelor’s or graduate degree in a related field of nutrition. However, since most RDs pursue the national CDR credential (which now requires graduate education for new candidates), completing graduate-level study has become the practical pathway for entering the profession.

This change extends the educational timeline from 4 years to approximately 5-6 years, representing a significant investment in advanced training in medical nutrition therapy, research methods, and evidence-based practice.

ACEND-Accredited Programs in South Carolina

South Carolina offers several ACEND-accredited undergraduate programs that prepare students for graduate-level study and dietetic internships:

InstitutionLocationProgram TypeDegree Offered
Clemson UniversityClemson, SCDidactic Program in Dietetics (DPD)Bachelor of Science in Food and Nutrition: Nutrition and Dietetics
South Carolina State UniversityOrangeburg, SCDidactic Program in Dietetics (DPD)Bachelor of Science in Nutrition and Food Management – Nutrition Option
Winthrop UniversityRock Hill, SCDidactic Program in Dietetics (DPD)Bachelor of Science in Human Nutrition

After completing a bachelor’s degree from one of these programs, you’ll need to pursue a graduate degree (master’s or doctoral) in nutrition, dietetics, or a related field before applying to a dietetic internship.

Online and Hybrid Graduate Programs

Many students choose online or hybrid graduate programs that offer flexibility while meeting ACEND requirements. Consider exploring:

These programs typically take 1.5 to 2 years to complete and include coursework in advanced clinical nutrition, nutrition research, community nutrition, and food service management.

Step 2

Apply for Your Dietetic Internship (DI) in South Carolina

After or during graduate-level study, you must apply to and complete a dietetic internship approved by ACEND. ACEND-approved dietetic internships include supervised practice experience (commonly around 1,200 hours, though requirements vary by program) over 8 to 24 months, depending on whether the program is full-time or part-time.

The dietetic internship offers hands-on experience in clinical nutrition, community nutrition, food service management, and other specialty areas. Many internships offer rotations in hospitals, outpatient clinics, public health departments, and private practice settings.

ACEND-Approved Dietetic Internship Programs in South Carolina

ProgramLocationFormatDurationEmphasis Areas
Medical University of South CarolinaCharleston, SCFull-time, non-degree10 monthsClinical/nutrition therapy, community nutrition, health promotion and wellness, pediatric clinical nutrition
Winthrop UniversityRock Hill, SCFull-time, non-degree8 monthsNutrition therapy, clinical practice

Dietetic Internship Application Process

Applying to dietetic internships is a competitive process that utilizes a centralized computer matching system. Here’s what you need to know:

  • Application Timeline: Most internships use DICAS (Dietetic Internship Centralized Application System) with deadlines typically in February for summer/fall start dates
  • Competitive Selection: Programs receive many more applications than available positions, with match rates varying by program
  • Cost Considerations: Dietetic internships often cost between $5,000-$20,000 in program fees, plus living expenses during the unpaid or minimally paid experience
  • Distance Options: Some students choose distance dietetic internships that allow practice hours in their local area with remote supervision

Step 3

Pass the Commission on Dietetic Registration Examination

Following successful completion of your dietetic internship, you’ll be eligible to sit for the Commission on Dietetic Registration examination. This computer-based exam assesses your knowledge and competency across all domains of dietetic practice.

CDR Examination Content Areas

The exam covers four main domains:

  • Principles of Dietetics: Foundations of nutrition science, food science, and dietetic practice
  • Nutrition Care for Individuals and Groups: Assessment, diagnosis, intervention, and monitoring/evaluation in diverse populations
  • Management of Food and Nutrition Programs and Services: Leadership, quality improvement, and resource management
  • Foodservice Systems: Menu planning, food production, food safety, and sustainability

Exam Registration and Fees

Your dietetic internship program director will verify your eligibility to CDR upon completion of your supervised practice hours. You’ll then receive an email with instructions to register for the exam and pay the $200 examination fee through your CDR account.

Pearson VUE administers the exam at testing centers nationwide. Testing centers in South Carolina are located in several cities, including Columbia, Charleston, Greenville, and North Charleston. Candidates should confirm current testing locations and availability via the CDR and Pearson VUE portal.

Exam Format and Scoring

The CDR exam is a computer-based, multiple-choice examination. CDR determines the number of questions, timing, and passing score, and these are subject to change. Candidates should refer to the current CDR candidate handbook for specific exam format details. You’ll typically have time to familiarize yourself with the testing software before beginning the scored portion of the exam.

Your score appears immediately upon completion in the “report” section of your online account. Recent passing standards have required scaled scores of at least 25 on a scale of 1 to 50; however, candidates should verify current requirements with the CDR.

Exam Preparation Resources

CDR provides official study materials, including:

Most candidates spend 2-3 months preparing for the exam while studying 10-20 hours per week. Many find success using commercial study guides, review courses, and study groups.

If You Don’t Pass

If you don’t pass the exam on your first attempt, you may retake it after a 45-day waiting period. You must reauthorize for testing by emailing [email protected] or calling (312) 899-4859. Each retake requires payment of the $200 examination fee and re-registration through your CDR account.

Step 4

Apply for State Licensure as a Registered Dietitian in SC

After passing the CDR exam and earning your RD credential, you’re eligible to apply for state licensure in South Carolina. State licensure is required to practice as a registered dietitian and use the title “Licensed Dietitian” in South Carolina.

South Carolina Licensure Requirements

To obtain your South Carolina dietitian license, you must submit the following to the SC Panel for Dietetics:

RequirementDetails
Application FormCompleted Application for Licensure (available in PDF) or apply online
Application Fee$175 (non-refundable, check payable to LLR-Panel for Dietetics)
CDR Credential VerificationCopy of your signed CDR card or other proof of registration
PhotoRecent, full-faced, 2″x2″ passport-style photo
Official TranscriptOfficial transcript from your graduate degree program

Application Submission

Mail your completed application and supporting documents to:

SC Panel for Dietetics
PO Box 11329
Columbia, SC 29211

Processing typically takes 4-6 weeks. You can check your application status online at any time at https://verify.llronline.com/.

Reciprocity and Endorsement

If you’re already licensed as a registered dietitian in another state, South Carolina may grant licensure by endorsement. You must still meet all South Carolina requirements, including holding a current CDR credential and submitting the required documentation and fees.

Step 5

Maintain Your License and Pursue Specialty Certifications

Once you’ve obtained your South Carolina RD license, you’ll need to maintain both your state license and your national CDR credential through continuing education and periodic renewal.

South Carolina State Licensure Renewal

South Carolina requires registered dietitians to renew their license every two years. Key renewal requirements include:

  • Renewal Schedule: Biennially by May 31 of odd-numbered years (next renewal: May 31, 2027)
  • Renewal Fee: $100
  • Renewal Method: Online through the SC LLR portal
  • CDR Credential Required: You must maintain current registration with the Commission on Dietetic Registration
  • Continuing Education: South Carolina licensure currently does not mandate continuing education beyond CDR’s requirements. However, statutory language allows the Panel to adopt additional continuing competency requirements under regulation. RD license renewal occurs biennially.

CDR Credential Renewal Requirements

To maintain your RD credential, you must recertify with CDR every five years. The Professional Development Portfolio (PDP) system requires:

  • 75 Continuing Professional Education Units (CPEUs) over each 5-year cycle
  • Self-assessment activities: Minimum requirements based on your practice area
  • Documentation: Maintain records of all learning activities in your CDR online portfolio
  • Renewal Fee: Current CDR renewal fees apply (check CDR website for current rates)

Specialty Certifications for Registered Dietitians

Many registered dietitians pursue additional specialty certifications to enhance their expertise and career opportunities. Popular specialty certifications include:

SpecialtyCredentialFocus Area
Board Certified Specialist in Gerontological NutritionCSGNutrition care for older adults
Board Certified Specialist in Oncology NutritionCSONutrition therapy for cancer patients
Board Certified Specialist in Pediatric NutritionCSPPediatric and adolescent nutrition
Board Certified Specialist in Renal NutritionCSRKidney disease and dialysis nutrition
Board Certified Specialist in Sports DieteticsCSSDAthletic performance nutrition
Certified Diabetes Care and Education SpecialistCDCESDiabetes management and education

Each specialty certification requires additional hours of experience, continuing education, and a specialty examination. These credentials demonstrate advanced competency and can lead to higher salaries and expanded career opportunities.

Professional Membership Organizations

Joining professional organizations provides networking opportunities, continuing education, and career resources:

  • Academy of Nutrition and Dietetics: National organization offering conferences, publications, and practice groups
  • South Carolina Academy of Nutrition and Dietetics: State affiliate providing local networking and advocacy
  • Specialized Practice Groups: Focus areas like sports nutrition, integrative and functional medicine, or public health

Registered Dietitian Career Opportunities in South Carolina

South Carolina offers a diverse range of career settings for registered dietitians across the state’s expanding healthcare system, educational institutions, and wellness industry.

South Carolina Salary Data for Registered Dietitians

According to the Bureau of Labor Statistics, registered dietitians and nutritionists in South Carolina earned the following annual wages as of May 2024:

Experience LevelAnnual Salary
Entry-Level (25th Percentile)$56,970
Median (50th Percentile)$67,590
Experienced (75th Percentile)$77,890
Top 10%$90,600+

Metropolitan Area Salaries

Salaries vary by location within South Carolina:

  • Charleston Metro Area: Average salary of $72,850 (higher than state average)
  • Columbia Metro Area: Average salary of $66,450
  • Greenville-Anderson Metro Area: Competitive wages with a growing healthcare sector

Employment Settings for South Carolina RDs

Registered dietitians in South Carolina work in various settings:

  • Hospitals and Medical Centers: Clinical nutrition, critical care, and patient nutrition therapy
  • Outpatient Clinics: Diabetes education, weight management, cardiovascular nutrition
  • Long-Term Care Facilities: Nutrition management for skilled nursing and assisted living residents
  • Public Health Departments: WIC programs, community nutrition education, maternal and child health
  • Universities and Schools: Campus wellness, foodservice management, nutrition education
  • Private Practice: Counseling, consulting, telehealth services
  • Sports Nutrition: College athletics programs, professional sports teams, performance centers
  • Corporate Wellness: Employee health programs, workplace nutrition education

Job Outlook

The Bureau of Labor Statistics projects employment of dietitians and nutritionists to grow faster than average for all occupations through 2032. Factors driving demand include:

  • An aging population requiring specialized nutrition care
  • Increased emphasis on disease prevention through nutrition
  • Rising rates of diabetes and obesity
  • Expansion of Medicare and insurance coverage for nutrition services
  • Growing interest in sports nutrition and performance

Timeline and Investment to Become an RD in South Carolina

Typical Timeline

PhaseDurationDescription
Bachelor’s Degree4 yearsComplete ACEND-accredited didactic program in dietetics
Graduate DegDegree5-2 yearsMaster’s or doctoral degree in nutrition/dietetics (required as of 2024)
Dietetic Internship8-24 months1,200 hours of supervised practice (may overlap with graduate degree)
CDR Exam Preparation1-3 monthsStudy and sit for the registration examination
State Licensure Application4-6 weeksApply for and receive an SC license
Total Time5-6 yearsFrom undergraduate start to licensed practice

Estimated Costs

Expense CateDegreeEstimated Cost Range
BachDegree Degree (in-state public)$40,000-$60,000
Graduate Degree$20,000-$50,000
Dietetic Internship Program Fees$5,000-$20,000
Living Expenses During Internship$10,000-$25,000
CDR Examination Fee$200
SC License Application$175
Study Materials and Resources$500-$1,500
Total Investment$75,875-$156,875

Note: Costs vary significantly based on the type of institution (public vs. private), residency status, financial aid, and individual circumstances. Many students reduce costs through scholarships, assistantships, and employer tuition reimbursement programs.

Frequently Asked Questions

What’s the difference between a registered dietitian and a nutritionist in South Carolina?

A registered dietitian (RD) has completed rigorous ACEND-accredited education (now requiring a graduate degree), a 1,200-hour dietetic internship, passed the CDR national exam, and holds state licensure in South Carolina. The term “nutritionist” is not licensed in SC, though some nutritionists hold the Certified Nutrition Specialist (CNS) credential through the Board for Certification of Nutrition Specialists. Only licensed RDs can provide medical nutrition therapy and work in clinical settings in South Carolina.

How long does it take to become a registered dietitian in South Carolina?

With the 2024 graduate degree requirement, becoming an RD typically takes 5-6 years. A graduate degree takes 4 years, for a graduate degree takes 1.5-2 years for a graduate degree (which may overlap with the dietetic internship), 8-24 months for the internship, and 1-3 months for exam preparation and licensure application. Some coordinated master’s programs combine graduate coursework with supervised practice, potentially reducing the total time required for completion.

Can I become a registered dietitian with just a bachelor’s degree?

The answer depends on which credential you’re pursuing. As of January 1, 2024, ACEND requires all new CDR exam candidates to complete a graduate degree to be eligible for the national RD examination. However, South Carolina’s state licensure law (SC § 40-20-60) currently permits licensure by examination for individuals holding a bachelor’s or graduate degree in a related field of nutrition. In practice, most aspiring dietitians pursue the national CDR credential, which now requires graduate education for new candidates. If you earned a bachelor’s degree in dietetics before 2024, you must now complete a graduate degree before applying to a dietetic internship and taking the CDR exam.

Do I need state licensure if I have the RD credential?

Yes. South Carolina requires state licensure to practice as a registered dietitian and use protected titles, such as “dietitian,” “registered dietitian,” or “licensed dietitian.” The national RD credential alone doesn’t authorize you to practice in South Carolina. You must apply for and maintain state licensure through the SC Panel for Dietetics. What is the cost to become a registered dietitian?

The total investment ranges from approximately $75,000 to $157,000, including undergraduate education, graduate degree, dietetic internship fees, living expenses during unpaid internship months, exam fees, and licensure costs. Many students reduce costs through in-state tuition, scholarships, graduate assistantships, and employer education benefits.

Can I practice as an RD in South Carolina with an out-of-state license?

No. You must hold South Carolina state licensure to practice as a registered dietitian in South Carolina. However, SC may grant licensure by endorsement if you’re currently licensed in another state. You’ll still need to meet all SC requirements, including holding a current CDR credential, and submit the required application and fees.

What are the continuing education requirements for South Carolina RDs?

South Carolina doesn’t have separate state continuing education requirements. However, you must maintain your CDR credential to keep your state license, which requires 75 Continuing Professional Education Units (CPEUs) every 5 years. You’ll renew your SC state license every 2 years for $100, and your CDR credential every 5 years.

Are there online options for becoming a registered dietitian?

Yes, many graduate programs in nutrition and dietetics offer online or hybrid formats that meet ACEND requirements. Some distance dietetic internships also allow you to complete supervised practice hours in your local area with remote supervision. However, hands-on clinical rotations and foodservice experiences still require in-person participation.

What specializations can registered dietitians pursue in the state of South Carolina?

RDs can pursue board certifications in gerontological nutrition (CGS), oncology nutrition (CGSO), pediatric nutrition (CGSP), renal nutrition (CGSR), sports dietetics (CSSD), and diabetes care and education (CDCES). South Carolina’s diverse healthcare system offers opportunities in all these specialties, particularly in the state’s growing metropolitan areas.

Can I start practicing while waiting for my license application to be processed?

No. You may not practice as a registered dietitian or use protected titles in South Carolina until you receive your state license. The application typically takes 4-6 weeks to process. You can check your application status online at verify.llronline.com.

Key Takeaways

  • As of January 2024, ACEND requires a graduate degree for new candidates to sit for the CDR examination; however, South Carolina’s state licensure law currently accepts either a bachelor’s or graduate degree for licensure by examination.
  • South Carolina requires both the national RD credential and state licensure to practice as a registered dietitian and use protected titles like “dietitian” or “licensed dietitian”
  • The dietetic internship requires supervised practice experience (commonly around 1,200 hours, though requirements vary) and is highly competitive, often with program fees of $5,000-$20,000
  • South Carolina RDs earn a median salary of $67,590 according to BLS data, with experienced dietitians earning $90,600 or higher.
  • The total investment to become an RD ranges from $75,000 to $157,000, although scholarships and assistantships can significantly reduce these costs.
  • State licensure renewal occurs every 2 years for $100, while CDR credential renewal requires 75 CPEUs every 5 years.s
  • Specialty certifications in areas such as oncology, pediatrics, sports nutrition, and diabetes care can enhance career opportunities and increase earnings potential.
  • South Carolina’s growing healthcare sector and aging population create strong job prospects for registered dietitians across diverse practice settings.

Ready to Start Your Registered Dietitian Career in South Carolina?

Now that you understand the pathway to becoming a registered dietitian in South Carolina, take the next step in your nutrition career. Explore accredited graduate programs, connect with current RDs in your area of interest, and start planning your educational journey. Investing in becoming an RD opens doors to a career that helps individuals and communities achieve better health through evidence-based nutrition care.

Learn more about registered dietitian careers and specializations or explore graduate nutrition degree programs to begin your journey.

The following bachelors and Master’s programs offer career-focused instruction delivered by trained nutritionists with experience in the field. Find out more what each individual course of study offers through the locations below.

Featured Nutritionist Programs

Important: Licensure laws, exam eligibility requirements, internship availability, and costs are subject to change. Always verify current information with the SC Panel for Dietetics, the Commission on Dietetic Registration (CDR), and ACEND for the most up-to-date requirements.

2024 US Bureau of Labor Statistics salary figures and job growth projections for dietitians and nutritionists reflect state and national data, not school-specific information. Conditions in your area may vary—data accessed September 2025.

author avatar
Dr. Lena Voss, RD, PhD
Dr. Lena Voss, RD, PhD, is a Registered Dietitian and Nutritional Epidemiologist with over 18 years of experience in evidence-based nutrition. Holding a PhD from the University of Copenhagen, she specializes in dietary interventions for metabolic health and sustainable eating. Dr. Voss has published in leading journals like The American Journal of Clinical Nutrition and contributed to global wellness programs