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

Edge of Greatness Psychotherapy PLLC

Organization Clinical Social Worker · NPI 1053100339

Edge of Greatness Psychotherapy PLLC is a Clinical Social Worker 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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