Individual provider · Type 1 NPI

Pamela Faye Derby, M.S.

Clinical Social Worker · Waukesha, WI

NPI number 1508081555 Active

Practice location

2727 N Grandview Blvd Ste 203
Waukesha, WI 53188-1671

Fax (262) 421-5477

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3576-123 (WI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1508081555

Pamela Faye Derby, M.S.'s National Provider Identifier is 1508081555, issued on Apr 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waukesha, WI. The record was last updated on Jan 24, 2024.