Jack Anreze Woods Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8414-C Issued in AR

Practice address

2718 S Arch St
Little Rock, AR 72206-6529

Phone

(501) 551-1201

Fax

(501) 615-8721

NPI assigned

Jul 19, 2017

Sex

Male

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1184147464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 S ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066529",
            "telephone_number": "501-615-8659",
            "fax_number": "501-615-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 S ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066529",
            "telephone_number": "501-551-1201",
            "fax_number": "501-615-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JACK",
        "middle_name": "ANREZE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8414-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jeanette Woods, CADC,CCDP
• Cathryn Rene Woods, RD
• Charlotte Woods, MS,RD, LD
• Forrest J Woods, MD
• Gail Woods, MD
• JNB Rides LLC Woods
• Kayla Woods, MD
• Kristen Irene Woods, NP
• Mercedes Dominique Woods
• Pamela Denise Woods, ACNPC-AG

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.