Provider Demographics
NPI:1184147464
Name:WOODS, JACK ANREZE JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:JACK
Middle Name:ANREZE
Last Name:WOODS
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2718 S ARCH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-6529
Mailing Address - Country:US
Mailing Address - Phone:501-615-8659
Mailing Address - Fax:501-615-8721
Practice Address - Street 1:2718 S ARCH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-6529
Practice Address - Country:US
Practice Address - Phone:501-551-1201
Practice Address - Fax:501-615-8721
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8414-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical