Individual
AMANDA E BADDMOCCOSIN-BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 E GREEN BAY ST STE 101, SHAWANO, WI 54166-2444
(715) 280-8130
Mailing address
407 W VINAL ST, WITTENBERG, WI 54499-9280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
134407
WI
1041C0700X
Clinical Social Worker
Primary
12439-123
WI
Other
Enumeration date
05/25/2021
Last updated
05/04/2026
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