Blair Richelle Rose Perruccio, MSW
Individual provider Active NPI Social Worker · Alexandria Bay, NY
NPI 1780574285 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1780574285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 128985 (NY)
- Practice address
- 4 Fuller St # 1315
Alexandria Bay, NY 13607-1316 - Phone
- (315) 482-1277
- NPI assigned
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 128985 | NY | Yes |
Addresses
Primary practice location
4 Fuller St # 1315
Alexandria Bay, NY 13607-1316
Mailing address
45425 Olney Rd
Redwood, NY 13679-5116
Other practice location 1
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256 ext. 49256
Other providers in Alexandria Bay, NY
- Melanie Mullins
- Nancy a. Girard DO PC
- Karoline Marie Nelson
- Shannon Marie Newberry
- Loren Michelle Parow
- Emily Wiley Peters
- Natalie Kathryn Powers
- Jessica Lauren Rafter
- Natalie Ramsdell
- Mahreen Abdul Razzaq
All providers in Alexandria Bay, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.