Shaconnie Grubb, LCSW, MSW, MPH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904012966 Issued in VA

Practice address

9600 Veterans Dr SW
Tacoma, WA 98493-1703

Phone

(253) 267-4094

NPI assigned

Dec 6, 2019

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1295372431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DRIVE SW",
            "address_2": "MAILSTOP A-122",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DR SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984931703",
            "telephone_number": "253-267-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "SHACONNIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growth and Healing Psychological Services, Inc
• Growth. Occupational Therapy and Wellness PLLC
• Vladislav G Groysman, DO
• Leo Gruba
• Serena Gruba
• Calvin Grubbs III, MD, FAAFP
• Lindsay Kay Grubish, D.O.
• Max Jerald Gruenewald
• Catrina Renee Grugin
• Nekkia Grundhoffer

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.