Individual provider

Taresa Spade, LCSW

Clinical Social Worker

Taresa Spade, LCSW is a provider specialising in Clinical Social Worker in Clinton, MT, registered under NPI 1063031557. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 12508 HAWK LN, Clinton, MT 59825. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12508 HAWK LN, Clinton, MT 59825 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
BBH-LCSW-LIC-42656 MT Clinical Social Worker primary
LCSW-4493 HI Clinical Social Worker
31664 MN Clinical Social Worker
15379 OR Clinical Social Worker
101117 CA Clinical Social Worker
61317222 WA Clinical Social Worker
149.026956 IL Clinical Social Worker

Licences are recorded in 7 states: MT, HI, MN, OR, CA, WA, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 7 states

This provider holds licences in 7 states: California, Hawaii, Illinois, Minnesota, Montana, Oregon and Washington. The practice address on file is in Clinton, MT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
101117
Specialty
Clinical Social Worker
Verify with the CA board →
HI Hawaii
Licence
LCSW-4493
Specialty
Clinical Social Worker
Verify with the HI board →
IL Illinois
Licence
149.026956
Specialty
Clinical Social Worker
Verify with the IL board →
MN Minnesota
Licence
31664
Specialty
Clinical Social Worker
Verify with the MN board →
MT Montana practice address
Licence
BBH-LCSW-LIC-42656
Specialty
Clinical Social Worker
Verify with the MT board →
OR Oregon
Licence
15379
Specialty
Clinical Social Worker
Verify with the OR board →
WA Washington
Licence
61317222
Specialty
Clinical Social Worker
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

All registered taxonomy codes

This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

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

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063031557 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 14, 2020
Last updatedApr 2, 2026
StatusActive
Sole proprietorYes
CredentialLCSW
Practice address 12508 HAWK LN
Clinton, MT 59825
(808) 359-4730
Mailing address 1522 E SHORE DR
Detroit Lakes, MN 56501
This record was updated on Apr 2, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1063031557 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 0 3 1 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 0 3 2 5 1

Sum = 43 · next multiple of 10 = 50 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063031557?
NPI 1063031557 is the National Provider Identifier assigned to Taresa Spade, LCSW in Clinton, MT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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…
How do I contact Taresa Spade, LCSW?
The phone number on file with NPPES is (808) 359-4730, last updated Apr 2, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063031557 a valid number?
Yes. 1063031557 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.