Provider Demographics
NPI:1215225800
Name:ZAMENI TRUJILLO, SHIREEN LENAE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHIREEN
Middle Name:LENAE
Last Name:ZAMENI TRUJILLO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 BALLERINA PL
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768-2301
Mailing Address - Country:US
Mailing Address - Phone:949-413-9416
Mailing Address - Fax:
Practice Address - Street 1:465 LA TORTUGA DR
Practice Address - Street 2:SUITE 200
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-4320
Practice Address - Country:US
Practice Address - Phone:760-631-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA267791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical