Healthcare Provider Details

I. General information

NPI: 1780552323
Provider Name (Legal Business Name): EMMA MARIE SPICHER HALLIGAN LMSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMMA SPICHER LMSW, CADC

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 1ST AVE N
FORT DODGE IA
50501-3997
US

IV. Provider business mailing address

826 1ST AVE N
FORT DODGE IA
50501-3997
US

V. Phone/Fax

Practice location:
  • Phone: 515-573-3931
  • Fax:
Mailing address:
  • Phone: 515-573-3931
  • Fax: 515-573-3950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number136605
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number25091
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: