Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Edge of Greatness Psychotherapy PLLC

Organization Clinical Social Worker · NPI 1053100339

Edge of Greatness Psychotherapy PLLC provides Clinical Social Worker services in Tampa, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19143 Lake Audubon Dr
Tampa, FL 33647-3233
Phone: (813) 451-5371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1053100339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Forero — Psychotherapist · (813) 451-5371
NPI enumeratedMay 3, 2025
Last updated in NPPESMay 3, 2025
Certification dateMay 3, 2025
Mailing address19143 Lake Audubon Dr, Tampa, FL 33647-3233

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