# CLINICAL ASSOCIATES OF TIDEWATER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447341615
- **Authorized official:** DR. NAOMI S GOLDBLUM PH.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (757) 877-7700

## Contact information

- **Practice address:** 12695 MCMANUS BLVD BLDG 8, NEWPORT NEWS, VA 23602-4442
- **Practice address phone:** (757) 877-7700
- **Practice address fax:** (757) 872-7211
- **Mailing address:** 12695 MCMANUS BLVD BLDG 8, NEWPORT NEWS, VA 23602-4442
- **Mailing address phone:** (757) 877-7700
- **Mailing address fax:** (757) 872-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 09/11/2025