SHURENE LARAE PREMO ACSW NPI 1093430696

NPI Information

  • NPI: 1093430696
  • Provider Name: SHURENE LARAE PREMO, ACSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 120 BIRMINGHAM DR # 240A
    CARDIFF, CA
    ZIP 92007
  • Phone: (858) 208-0121

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NPI Details

Shurene Larae Premo, ACSW is a social worker in Cardiff, CA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Shurene Larae Premo, ACSW NPI is 1093430696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 BIRMINGHAM DR # 240A
CARDIFF, CA
ZIP 92007-757
Phone: (858) 208-0121
Fax: (858) 381-9768

The enumeration date for this NPI number is 10/5/2022 and was last updated on 11/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health99213CALIFORNIANo
21041C0700XSocial WorkerClinical99213CALIFORNIANo
3104100000XSocial Worker99213CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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