CLINICAL ASSOCIATES OF TIDEWATER NPI 1447341615

NPI Information

  • NPI: 1447341615
  • Provider Name: CLINICAL ASSOCIATES OF TIDEWATER
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Address: 12695 MCMANUS BLVD BLDG 8
    NEWPORT NEWS, VA
    ZIP 23602
  • Phone: (757) 877-7700

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NPI Details

CLINICAL ASSOCIATES OF TIDEWATER is a social worker in Newport News, VA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. CLINICAL ASSOCIATES OF TIDEWATER NPI is 1447341615. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12695 MCMANUS BLVD BLDG 8
NEWPORT NEWS, VA
ZIP 23602-442
Phone: (757) 877-7700
Fax: (757) 872-7211

The provider's authorized official is Naomi S Goldblum .
The authorized official title is Clinical Psychologist and has the following contact phone number (757) 877-7700.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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