Altagrace K Souverain, LCSW in Clermont, FL - Medicare Social Worker Provider

Altagrace K Souverain, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clermont, Florida. Her current practice location is 2140 N Don Wickham Dr, Clermont, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 394-5922.

Altagrace K Souverain is licensed to practice in Florida (license number SW20568) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003533423.

Contact Information

	Altagrace K Souverain, LCSW
	2140 N Don Wickham Dr, Clermont, FL 34711-1922
	(352) 394-5922
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Altagrace K Souverain
Gender	Female
Speciality	Social Worker - Clinical
Location	2140 N Don Wickham Dr, Clermont, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003533423
Provider Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0547630733
Enrollment ID: I20230104002033

Medical Identifiers

Medical identifiers for Altagrace K Souverain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003533423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW20568 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Altagrace K Souverain allows following entities to bill medicare on her behalf.

Entity Name	Lifestream Behavioral Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Altagrace K Souverain is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Altagrace K Souverain, LCSW Po Box 491000, Leesburg, FL 34749-1000 Ph: (352) 315-7500	Altagrace K Souverain, LCSW 2140 N Don Wickham Dr, Clermont, FL 34711-1922 Ph: (352) 394-5922

Reviews and Comments

Social Worker in Clermont, FL

Pamela Quiroz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 509 Cagan View Rd, Clermont, FL 34714 Phone: 407-905-8827 Fax: 407-905-8998
Massiel Hernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 S Hwy 27 Ste 205b, Clermont, FL 34711 Phone: 407-374-5139
Rona Ingrid Henriques, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 E Highway 50, Clermont, FL 34711 Phone: 352-432-2127 Fax: 352-432-2127
Joelle June Bangsund, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 835 Oakley Seaver Dr, S, Clermont, FL 34711 Phone: 352-241-9282 Fax: 352-241-4282
Andrea Clemens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14806 Spruce Pine Ln, Clermont, FL 34711 Phone: 407-486-1086
James Michael Bogan, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17011 State Road 50 Ste 301, Clermont, FL 34711 Phone: 337-693-5248

Altagrace K Souverain, LCSW - Medicare Clinical Social Worker in Clermont, FL