Provider Demographics
NPI:1538827712
Name:DARBY, PAMALYN DENISE (LMSW)
Entity type:Individual
Prefix:MS
First Name:PAMALYN
Middle Name:DENISE
Last Name:DARBY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 WINDMILL WAY
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-2837
Mailing Address - Country:US
Mailing Address - Phone:908-247-7926
Mailing Address - Fax:
Practice Address - Street 1:784 WINDMILL WAY
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-2837
Practice Address - Country:US
Practice Address - Phone:908-247-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046706-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical