Active NPI
Peter Valdis Lakis, LMSW-CC
- Clinical Social Worker
- Stockton, CA
National Provider Identifier
1790477016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 138028
- Practice address
- 717 N Tuxedo Ave
Stockton, CA 95204-5129 - Phone
- (207) 350-5898
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 138028 | CA | Primary |
Addresses
Primary practice location
717 N Tuxedo Ave
Stockton, CA 95204-5129
Mailing address
717 N Tuxedo Ave
Stockton, CA 95204-5129
Phone (207) 350-5898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138028 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1790477016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 N TUXEDO AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045129",
"telephone_number": "207-350-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N TUXEDO AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045129",
"telephone_number": "207-350-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKIS",
"first_name": "PETER",
"middle_name": "VALDIS",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "138028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.