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

Carolyn Georgine Premo

Individual provider Day Training/Habilitation Specialist · NPI 1285520510

Carolyn Georgine Premo is a Day Training/Habilitation Specialist in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

411 Borel Ave Ste 101
San Mateo, CA 94402-3525
Phone: (650) 372-4080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1285520510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

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