Individual ProviderRachel Elizabeth ProutySocial WorkerBehavioral Health & Social Service ProvidersPractice Address4220 S Maryland Pkwy Bldg A2nd, Las Vegas, NV 89119-7533(415) 424-4266(702) 653-2273PECOS EnrollmentBased on the most recent information from CMS, provider Rachel Elizabeth Prouty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1194499566Provider TypeIndividualFull NameProuty, Rachel ElizabethCredentialMSW, LCSW, LCSW-CGenderFemaleSole ProprietorNoEnumeration Date8/9/2021Last Updated6/25/2025Contact InformationPractice LocationPractice Address4220 S Maryland Pkwy Bldg A2nd, Las Vegas, NV 89119-7533Phone(415) 424-4266Fax(415) 520-6633Mailing LocationMailing Address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600Phone(702) 653-2273FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11278-CNevadaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense27289Maryland