Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shurene Larae Premo, LCSW

Individual provider Mental Health Counselor · NPI 1093430696

Shurene Larae Premo, LCSW 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
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

120 Birmingham Dr # 240A
Cardiff, CA 92007-1757
Phone: (858) 208-0121
Fax: (858) 381-9768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 141912 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 99213 (CA)
Social Worker Taxonomy 104100000X · Licence 99213 (CA)

Record details

NPI number1093430696
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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