What is Taresa Spade's NPI number?

Taresa Spade's National Provider Identifier (NPI) is 1063031557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Taresa Spade's specialty?

Taresa Spade is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Taresa Spade located?

Taresa Spade's practice location on file with NPPES is 12508 Hawk Ln, Clinton, MT 59825-9033.

What is Taresa Spade's phone number?

The practice phone number listed in the NPPES registry for Taresa Spade is (808) 359-4730.

Is Taresa Spade's NPI active?

Yes — Taresa Spade's NPI (1063031557) is active in the NPPES registry as of the last update on 2026-04-02.

IndividualActive

Taresa Spade, LCSW

NPI 1063031557 · Clinical Social Worker · Clinton, MT

Taresa Spade, LCSW is a Clinical Social Worker provider in Clinton, MT (NPI 1063031557).

Provider details

NPI number: 1063031557
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Female
Sole proprietor: Yes
License: LCSW-4493 (HI)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense BBH-LCSW-LIC-42656 (MT)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense LCSW-4493 (HI)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense 31664 (MN)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense 15379 (OR)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense 101117 (CA)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense 61317222 (WA)

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12508 Hawk Ln

Clinton, MT 59825-9033

Phone: (808) 359-4730

Street-level locationGet directions

More MT providers

Mailing address

1522 E Shore Dr

Detroit Lakes, MN 56501-4707

Additional practice locations (1)

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

Enumerated: 2020-04-14
Last updated: 2026-04-02
Certified: 2026-04-02

Frequently asked questions

What is Taresa Spade's NPI number?: Taresa Spade's National Provider Identifier (NPI) is 1063031557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Taresa Spade's specialty?: Taresa Spade is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
Where is Taresa Spade located?: Taresa Spade's practice location on file with NPPES is 12508 Hawk Ln, Clinton, MT 59825-9033.
What is Taresa Spade's phone number?: The practice phone number listed in the NPPES registry for Taresa Spade is (808) 359-4730.
Is Taresa Spade's NPI active?: Yes — Taresa Spade's NPI (1063031557) is active in the NPPES registry as of the last update on 2026-04-02.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.