Individual provider · Type 1 NPI
Shurene Larae Premo, LCSW
Clinical Social Worker · Cardiff, CA
Practice location
120 Birmingham Dr # 240A
Cardiff, CA 92007-1757
Fax (858) 381-9768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 99213 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 141912 (CA) |
| Social Worker | 104100000X | 99213 (CA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1093430696
Shurene Larae Premo, LCSW's National Provider Identifier is 1093430696, issued on Oct 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cardiff, CA. The record was last updated on Sep 23, 2026.