Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. STACEY NICOLE BRUURSEMA LMSW
NPI 1679086532
Social Worker in Ann Arbor, MI

Active since November 14, 2017
4350 JACKSON RD STE 300, ANN ARBOR, MI 48103(800) 877-3166 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2026, Nov 14, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Social Worker

About STACEY BRUURSEMA

This page provides the complete NPI Profile along with additional information for Stacey Bruursema, a provider established in Ann Arbor, Michigan with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1679086532 assigned on November 2017. The practitioner's primary taxonomy code is 104100000X with license number 6801103855 (MI). The provider is registered as an individual and her NPI record was last updated July 2026.

NPI
1679086532 Verify this NPI
Provider Name
MRS. STACEY NICOLE BRUURSEMA LMSW
Gender
Female
Entity Type
Individual
Location Address
4350 JACKSON RD STE 300 ANN ARBOR, MI 48103
Location Phone
(800) 877-3166
Mailing Address
24 FRANK LLOYD WRIGHT DR STE J2000 ANN ARBOR, MI 48105
Mailing Phone
(734) 747-6766
Is Sole Proprietor?
No
Enumeration Date
11-14-2017
Last Update Date
07-15-2026
Code Navigator

A social worker like Stacey Bruursema helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
6801103855
License State
MI
Taxonomy Description
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.

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Obstetrics & Gynecology
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Obstetrics & Gynecology
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Nurse Practitioner (Family)
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Obstetrics & Gynecology
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Obstetrics & Gynecology
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Counselor (Professional)
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Social Worker (Clinical)
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
4350 JACKSON RD STE 300
ANN ARBOR, MI 48103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679086532, enumerated as an "individual" on November 14, 2017.

The provider is located at 4350 JACKSON RD STE 300 ANN ARBOR, MI 48103 and the phone number is (800) 877-3166.

Social Worker with taxonomy code 104100000X.