Individual provider · Type 1 NPI

Altagrace K. Souverain, LCSW

Clinical Social Worker · Lakeland, FL

NPI number 1003533423 Active

Practice location

4120 US Highway 98 N
Lakeland, FL 33809-3854

Call (863) 687-1222 Map

Mailing address

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Other practice locations

  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 · (863) 687-1222

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW20568 (FL)

Clinical Social Worker: 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 interpers…

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About NPI 1003533423

Altagrace K. Souverain, LCSW's National Provider Identifier is 1003533423, issued on Oct 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakeland, FL. The record was last updated on Jul 8, 2026.