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

Amanda E Baddmoccosin-Barnes, LCSW

Individual provider Clinical Social Worker · NPI 1114592805

Amanda E Baddmoccosin-Barnes, LCSW is a Clinical Social Worker in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

102 E Green Bay St Ste 101
Shawano, WI 54166-2444
Phone: (715) 280-8130
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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 12439-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1114592805
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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