The domestic violence (DV) field has long been known for its commitment to the integration of micro- and macro-level practice. This study explores the views of social workers providing clinical services within DV agencies in order to shed light on the ways in which they intellectually resolve the tensions inherent in carrying out the dual mission. Following the review of historical debates on professionalization of the field, the analysis focuses on clinical social workers’ efforts to construct integrated practices while responding to the historical context of feminism, which has shaped their agencies and the movement in the field.