Individual provider · Type 1 NPI

Amanda E. Baddmoccosin-Barnes, LCSW

Clinical Social Worker · Shawano, WI

NPI number 1114592805 Active

Practice location

102 E Green Bay St Ste 101
Shawano, WI 54166-2444

Call (715) 280-8130 Map

Mailing address

407 W Vinal St
Wittenberg, WI 54499-9280

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12439-123 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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 1114592805

Amanda E. Baddmoccosin-Barnes, LCSW's National Provider Identifier is 1114592805, issued on May 25, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shawano, WI. The record was last updated on May 4, 2026.