Individual provider Active NPI

Edward John Magiste, PH.D., LISW-S

  • Clinical Social Worker
  • Fairview Park, OH
National Provider Identifier
1982179149
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304227-SUPV Issued in OH
Practice address
22540 Lorain Rd
Fairview Park, OH 44126-2212
Phone
(440) 734-4037
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2304227-SUPV OH Primary

Addresses

Primary practice location

22540 Lorain Rd
Fairview Park, OH 44126-2212

Mailing address

508 Dickson St Ste 2
Wellington, OH 44090-1300
Phone (440) 828-0012

Other practice location 1

508 Dickson St Ste 2
Wellington, OH 44090-1300
Phone (440) 828-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20231221003413 OH Practitioner - Clinical Social Worker 7012367683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Behavioral Health Services, IncorporatedGroup PAC ID 5092713529, 8 clinicians

Practice addresses (Care Compare)

22540 Lorain Rd
Fairview Park, OH 44126-2212
Phone (440) 734-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
I.2304227-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Services, Incorporated Clinical CurrentSince Feb 23, 2024 Accepting new patients
Allied Behavioral Health Services, Incorporated PastSince Feb 23, 2024 Accepting new patients

Locations

22540 Lorain Rd
Fairview Park, OH 44126
Phone (440) 734-4037

3644 Oberlin Ave
Lorain, OH 44053
Phone (440) 252-1383

246 W Liberty St
Medina, OH 44256
Phone (330) 293-0660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1982179149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DICKSON ST STE 2",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440901300",
            "telephone_number": "440-828-0012",
            "fax_number": "440-828-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "440-734-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Dickson St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "OH",
            "postal_code": "440901300",
            "country_code": "US",
            "telephone_number": "440-828-0012",
            "fax_number": "440-828-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGISTE",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "credential": "PH.D., LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304227-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

Verify at the official NPI Registry.