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

Shurene Larae Premo, ACSW

Individual provider Mental Health Counselor · NPI 1093430696

Shurene Larae Premo, ACSW is a Mental Health Counselor in Cardiff, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

120 Birmingham Dr # 240A
Cardiff, CA 92007-1757
Phone: (858) 208-0121
Fax: (858) 381-9768
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 99213 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 99213 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 99213 (CA)

Record details

NPI number1093430696
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

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