Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Pamela Faye Derby, MS

Individual provider Clinical Social Worker · NPI 1508081555

MS. Pamela Faye Derby, MS is a Clinical Social Worker in Waukesha, Wisconsin. Qualified in 1992, 34 years ago. Practices with Family Service Agency of Waukesha County Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
34
Licensed in
WI
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2727 N Grandview Blvd Ste 203
Waukesha, WI 53188-1671
Phone: (262) 547-5567
Fax: (262) 421-5477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3576-123 (WI)

Record details

NPI number1508081555
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Family Service Agency Of Waukesha County Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waukesha