TARESA JANELLE SPADE LCSW
NPI 1063031557
Social Worker - Clinical in Clinton, MT

Active since April 14, 2020
12508 HAWK LN, CLINTON, MT 59825(808) 359-4730 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 2, 2026, Apr 14, 2020 (2 updates tracked since 2020).

About Taresa Janelle Spade Lcsw NPPES

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

TARESA JANELLE SPADE LCSW (NPI 1063031557) is an individual clinical provider in Clinton, Montana, licensed in Montana (BBH-LCSW-LIC-42656) and active in the NPI registry since April 2020. She maintains a secondary practice location in Detroit Lakes.

NPPES Registry Identity

NPI1063031557
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARESA JANELLE SPADECredential: LCSW
Location Address12508 HAWK LNClinton, MT 59825-9033
Mailing Address1522 E Shore DrDetroit Lakes, MN 56501-4707 · (808) 359-4730
Sole ProprietorYes
Enumeration DateApril 14, 2020
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1063031557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MT · BBH-LCSW-LIC-42656 Licensed in HI · LCSW-4493 Licensed in MN · 31664 Licensed in OR · 15379 Licensed in CA · 101117 Licensed in WA · 61317222 Licensed in IL · 149.026956
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.
12508 HAWK LN, Clinton, MT 59825

Secondary Practice Location 1

Location 11522 E Shore DrDetroit Lakes, MN 56501-4707 · Phone (808) 359-4730

Accepted Insurance

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 Taresa Spade's NPI number?

The NPI number for Taresa Spade is 1063031557. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Taresa Spade located?

Taresa Spade practices at 12508 Hawk Ln, Clinton, MT 59825. The listed phone number is (808) 359-4730.

What is Taresa Spade's specialty?

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

What insurance does Taresa Spade accept?

Health plans from Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, HMSA, Mountain Health CO-OP and Regence BlueCross BlueShield of Oregon and 1 other insurer list Taresa Spade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taresa Spade was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.