ALTAGRACE K SOUVERAIN LCSW
NPI 1003533423
Social Worker - Clinical in Lakeland, FL

Q: What is Altagrace Souverain's NPI number?

The NPI number for Altagrace Souverain is 1003533423. It was assigned to this individual provider in the NPPES registry on October 26, 2022.

Q: What is Altagrace Souverain's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since October 26, 2022PECOS EnrolledAccepts Medicare Assignment

4120 US HIGHWAY 98 N, LAKELAND, FL 33809(863) 687-1222 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Oct 26, 2022 (2 updates tracked since 2022).

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About Altagrace K Souverain Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTAGRACE K SOUVERAIN LCSW (NPI 1003533423) is an individual clinical provider in Lakeland, Florida, licensed in Florida (SW20568) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003533423

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALTAGRACE K SOUVERAINCredential: LCSW

Location Address4120 US HIGHWAY 98 NLakeland, FL 33809-3854

Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1100

Phone(863) 687-1222

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 26, 2022

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1003533423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW20568

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4120 US HIGHWAY 98 N, Lakeland, FL 33809

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Secondary Practice Location 1

Location 11324 Lakeland Hills BlvdLakeland, FL 33805-4543 · Phone (863) 687-1222 · Fax (863) 603-6546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Altagrace K Souverain Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547630733

PECOS Enrollment IDI20230104002033

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Altagrace Souverain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeland Regional Health Systems, Inc.

2.6 mi

Multi-Specialty

1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805

Reassigned Medicare billing, Florida enrollment
740 clinicians in this Medicare group

NPI 1497748743 (863) 687-7251

Lifestream Behavioral Center Inc

50 mi

Primary Care

215 N 3RD ST
Leesburg, FL 34748

Reassigned Medicare billing, Florida enrollment
37 clinicians in this Medicare group

NPI 1659613776 (352) 315-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANKE AGARWAL MD

Internal Medicine (Gastroenterology)