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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: August 16, 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
Phone(715) 280-8130
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
102 E GREEN BAY ST STE 101, Shawano, WI 54166
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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.

SWEETGRASS BEHAVIORAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
102 E GREEN BAY ST STE 101
SHAWANO, WI 54166
Shawano County (715) 280-8130
LITTLE MINDS WELLNESS LLC
Social Worker (Clinical)
102 E GREEN BAY ST STE 101
SHAWANO, WI 54166
Shawano County (715) 280-8130
MS. ALEGRA N FOWLER LCSW
Social Worker (Clinical)
102 E GREEN BAY ST STE 101
SHAWANO, WI 54166
Shawano County (715) 280-8130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Baddmoccosin-barnes's NPI number?

The NPI number for Amanda Baddmoccosin-barnes is 1114592805. It was assigned to this individual provider in the NPPES registry on May 25, 2021. The provider is also known as Amanda Kazik.

Where is Amanda Baddmoccosin-barnes located?

Amanda Baddmoccosin-barnes practices at 102 E Green Bay St Ste 101, Shawano, WI 54166. The listed phone number is (715) 280-8130.

What is Amanda Baddmoccosin-barnes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Amanda Baddmoccosin-barnes was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.