Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taresa Janelle Spade, LCSW

Individual provider Clinical Social Worker · NPI 1063031557

Taresa Janelle Spade, LCSW is a Clinical Social Worker in Clinton, Montana. Practices as a sole proprietor and works from 2 locations. Licensed in California, Hawaii, Illinois and Minnesota and 3 more.

Licensed in
CA, HI, IL, MN, MT, OR
In the registry since
2020
Specialties on file
7
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12508 Hawk Ln
Clinton, MT 59825-9033
Phone: (808) 359-4730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1522 E Shore Dr, Detroit Lakes, MN 56501-4707 — (808) 359-4730

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-42656 (MT)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-4493 (HI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 31664 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15379 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 101117 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 61317222 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.026956 (IL)

Record details

NPI number1063031557
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 14, 2020
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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