AMANDA E BADDMOCCOSIN-BARNES LCSW
NPI 1114592805
Social Worker - Clinical in Shawano, WI

Active since May 25, 2021
102 E GREEN BAY ST STE 101, SHAWANO, WI 54166(715) 280-8130 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2026, May 25, 2021 (2 updates tracked since 2021).

About Amanda E Baddmoccosin-barnes Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA E BADDMOCCOSIN-BARNES LCSW (NPI 1114592805) is an individual clinical provider in Shawano, Wisconsin, licensed in Wisconsin (12439-123) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1114592805
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA E BADDMOCCOSIN-BARNESCredential: LCSW
Location Address102 E GREEN BAY ST STE 101Shawano, WI 54166-2444
Mailing Address407 W Vinal StWittenberg, WI 54499-9280
Sole ProprietorNo
Enumeration DateMay 25, 2021
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1114592805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 12439-123
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

102 E GREEN BAY ST STE 101, Shawano, WI 54166

Other Names 1

Former Name (1)Amanda Kazik

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adolescent and Children Mental Health)
102 E GREEN BAY ST STE 101
SHAWANO, WI 54166
Social Worker (Clinical)
102 E GREEN BAY ST STE 101
SHAWANO, WI 54166
Social Worker (Clinical)
102 E GREEN BAY ST STE 101
SHAWANO, WI 54166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114592805, enumerated as an "individual" on May 25, 2021.

The provider is located at 102 E GREEN BAY ST STE 101 SHAWANO, WI 54166 and the phone number is (715) 280-8130.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.