Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHURENE LARAE PREMO, ACSW
ActiveSHURENE LARAE PREMO, ACSW is a Social Worker healthcare provider located in CARDIFF, California. NPI 1093430696 is currently active in the NPPES registry. Verify at CMS.
Social Worker · CARDIFF, CA
Registration Details
- NPI Number
- 1093430696
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2022 (3.8318679536543 yrs)
- Last Updated
- Nov 11, 2025
- Licenses
-
99213 (CA)99213 (CA)99213 (CA)
Practice Information
- Address
-
120 BIRMINGHAM DR # 240ACARDIFF, CA, 920071757Browse CA providers · Browse ZIP 92007
- Phone
- 8582080121
- Fax
- 8583819768
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.