Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Michael Leach Lazer, LCSW

Individual provider Social Worker · NPI 1457220485

Gary Michael Leach Lazer, LCSW is a Social Worker in Stockton, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

510 E Magnolia St Ste 100
Stockton, CA 95202-1850
Phone: (209) 938-0831
Fax: (209) 938-0849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW93379 (CA)

Record details

NPI number1457220485
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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