Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Altagrace K Souverain, LCSW

Individual provider Clinical Social Worker · NPI 1003533423

Altagrace K Souverain, LCSW is a Clinical Social Worker in Lakeland, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4120 US Highway 98 N
Lakeland, FL 33809-3854
Phone: (863) 687-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW20568 (FL)

Record details

NPI number1003533423
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 26, 2022
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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