Blair Richelle Rose Perruccio, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

128985 Issued in NY

Practice address

4 Fuller St # 1315
Alexandria Bay, NY 13607-1316

Phone

(315) 482-1277

NPI assigned

Jul 7, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1780574285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45425 OLNEY RD",
            "city": "REDWOOD",
            "state": "NY",
            "postal_code": "136795116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FULLER ST # 1315",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071316",
            "telephone_number": "315-482-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 Bell Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612097",
            "country_code": "US",
            "telephone_number": "718-504-9256 x49256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRUCCIO",
        "first_name": "BLAIR",
        "middle_name": "RICHELLE ROSE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "128985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Mullins, MHC-P
• Nancy a. Girard DO PC
• Karoline Marie Nelson
• Shannon Marie Newberry, LMSW
• Loren Michelle Parow
• Emily Wiley Peters, D.D.S.
• Natalie Kathryn Powers, PHARMD
• Jessica Lauren Rafter, PHARMD., RPH.
• Natalie Ramsdell
• Mahreen Abdul Razzaq, M.D.

• Social Worker in Alexandria Bay, NY
• Providers in Alexandria Bay, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.