Search › Montana › 1041C0700X
Taresa Spade, LCSW
NPI 1063031557 · on the registry since 2020 · sole proprietor
Practice
- Address
- 12508 Hawk Ln
Clinton, MT 59825 - Phone
- (808) 359-4730
Additional practice sites
- 1522 E Shore Dr, Detroit Lakes, MN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X
1041C0700X
1041C0700X
1041C0700X
1041C0700X - Licence states on file
- HI, MN, OR, CA, WA, MT, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana