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

Jerry Wayne Moore, THERAPUTICMENTOR

Individual provider Social Worker · NPI 1174805741

Jerry Wayne Moore, THERAPUTICMENTOR is a Social Worker in Haverhill, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

60 Merrimac St
Haverhill, MA 01830-6207
Phone: (978) 373-1126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1174805741
Entity typeIndividual (Type 1)
GenderMale
Credentials THERAPUTICMENTOR
Sole proprietorYes
NPI enumeratedSeptember 9, 2011
Last updated in NPPESSeptember 9, 2011
Mailing address60 Merrimac Street, Havehill, MA 01830

Other providers in Haverhill