Certuslogue, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56541 Issued in TX

Legal business name

CERTUSLOGUE, PLLC

Practice address

11211 Katy Fwy
Suite 285
Houston, TX 77079-2126

Phone

(713) 632-4658

NPI assigned

Jan 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Connie Villasmil, LCSW

Title

Owner

Phone

(713) 632-4658

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1538604152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CARLINGFORD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793204",
            "telephone_number": "713-632-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 KATY FWY",
            "address_2": "SUITE 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792126",
            "telephone_number": "713-632-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTUSLOGUE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "VILLASMIL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-632-4658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Austin Cerra, MD
• Emily D. Cerreta, NP-C
• Certified Managed Care Services, Inc.
• Certify Medical Equipment LLC
• Faride Certuche, D.D.S
• Liliana Cervantes Karim, OD
• Alejandra N/a Cervantes, LMFT-A
• Brandon C. Cervantes, CRNA
• Cristal Nechole Cervantes, LCSW
• Jorge Cervantes, MD

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.