EDGE OF GREATNESS PSYCHOTHERAPY PLLC
NPI 1053100339
Social Worker - Clinical in Tampa, FL

Active since May 03, 2025
19143 LAKE AUDUBON DR, TAMPA, FL 33647(813) 451-5371 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edge Of Greatness Psychotherapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGE OF GREATNESS PSYCHOTHERAPY PLLC (NPI 1053100339) is a healthcare organization registered as a clinical in Tampa, Florida and active in the NPI registry since May 2025. The organization lists Jessica Forero, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1053100339
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEDGE OF GREATNESS PSYCHOTHERAPY PLLC
Location Address19143 LAKE AUDUBON DRTampa, FL 33647-3233
Mailing Address19143 Lake Audubon DrTampa, FL 33647-3233 · (813) 451-5371
Organization SubpartNo
Authorized OfficialJessica ForeroPsychotherapist · (813) 451-5371
Enumeration DateMay 3, 2025
NPPES CertifiedMay 3, 2025
NPI 1053100339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
19143 LAKE AUDUBON DR, Tampa, FL 33647

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
19143 LAKE AUDUBON DR
TAMPA, FL 33647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edge Of Greatness Psychotherapy PLLC's NPI number?

The NPI number for Edge Of Greatness Psychotherapy PLLC is 1053100339. It was assigned to this organization in the NPPES registry on May 3, 2025.

Where is Edge Of Greatness Psychotherapy PLLC located?

Edge Of Greatness Psychotherapy PLLC is located at 19143 Lake Audubon Dr, Tampa, FL 33647. The listed phone number is (813) 451-5371.

What is Edge Of Greatness Psychotherapy PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Edge Of Greatness Psychotherapy PLLC was last updated on May 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.