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

Altagrace K Souverain, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lakeland, Florida. Her current practice location is 4120 Us Highway 98 N, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 687-1222.

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
	4120 Us Highway 98 N, Lakeland, FL 33809-3854
	(863) 687-1222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Altagrace K Souverain
Gender	Female
Speciality	Social Worker - Clinical
Location	4120 Us Highway 98 N, Lakeland, 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: 07/08/2026

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 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 Ph: (863) 687-1100	Altagrace K Souverain, LCSW 4120 Us Highway 98 N, Lakeland, FL 33809-3854 Ph: (863) 687-1222

Reviews and Comments

Social Worker in Lakeland, FL

Mrs. Heather Lynn Prociuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 State Road 540a, Lakeland, FL 33813 Phone: 863-608-0583
Idalis Montero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1010 E Rose St, Lakeland, FL 33801 Phone: 863-413-3126
Erin Walley Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5245 N Socrum Loop Rd, Lakeland, FL 33809 Phone: 863-859-1446
Laura Braswell, M.DIV LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2625 Hollingsworth Hill Ave, Lakeland, FL 33803 Phone: 863-660-5243
Ms. Khalilah Garrett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4541 Breccia Ln, Lakeland, FL 33811 Phone: 804-564-1308
Michelle Means, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 Gilmore Ave, Lakeland, FL 33805 Phone: 863-519-0575 Fax: 863-582-9251

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