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Contact Information

AMANDA E BADDMOCCOSIN BARNES, LCSW
102 E GREEN BAY ST STE 101
SHAWANO, WI54166-2444
 Phone: 715-280-8130
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for AMANDA E BADDMOCCOSIN BARNES · (Female)

NPI Number 1114592805
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 05/25/2021
Last updated 05/04/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • WI License # 12439-123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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