Shurene Larae Premo, is a
Social Worker - Clinical based in San Diego, California. Shurene Larae Premo is licensed to practice in California (license number 99213) and her current practice location is
409 Camino Del Rio S Ste 201, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 346-4020.
NPI number for Shurene Larae Premo is 1093430696 and her current mailing address is 409 Camino Del Rio S Ste 201, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093430696.
Healthcare Provider's Profile
| Full Name | Shurene Larae Premo |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 409 Camino Del Rio S Ste 201, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093430696
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 02/07/2024
Medical Identifiers
Medical identifiers for Shurene Larae Premo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093430696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 99213 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 99213 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shurene Larae Premo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shurene Larae Premo, 409 Camino Del Rio S Ste 201, San Diego, CA 92108-3505 Ph: (619) 346-4020 | Shurene Larae Premo, 409 Camino Del Rio S Ste 201, San Diego, CA 92108-3505 Ph: (619) 346-4020 |
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