Individual provider Active NPI

Katelyn Ruth Scott

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1205614500
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10985-C Issued in NV
Practice address
4485 S Buffalo Dr
Las Vegas, NV 89147-5006
Phone
(702) 888-6300
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10985-C NV Primary
Clinical Social Worker 1041C0700X 229184 MA

Addresses

Primary practice location

4485 S Buffalo Dr
Las Vegas, NV 89147-5006

Mailing address

1707 Village Center Cir Ste 250
Las Vegas, NV 89134-0597
Phone (702) 718-7353

Other practice location 1

1707 Village Center Cir Ste 250
Las Vegas, NV 89134-0597
Phone (702) 718-7353

Other names 1

  • Katelyn Mullett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003638 NV Practitioner - Clinical Social Worker 3678925161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

North Las Vegas, NV 89032
Phone (240) 200-0173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
229184MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Health Clinic Inc Psychiatry CurrentSince Feb 9, 2024 Accepting new patients
Solace Nevada Current Accepting new patients

Locations

400 Shadow Ln
Ste 207
Las Vegas, NV 89106
Phone (702) 382-7760

1707 Village Center Cir
Ste 250
Las Vegas, NV 89134
Phone (702) 718-7353

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1205614500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 VILLAGE CENTER CIR STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340597",
            "telephone_number": "702-718-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 S BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475006",
            "telephone_number": "702-888-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Village Center Cir Ste 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891340597",
            "country_code": "US",
            "telephone_number": "702-718-7353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATELYN",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10985-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "229184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MULLETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.