Active NPI
Edward John Magiste, PH.D., LISW-S
- Clinical Social Worker
- Fairview Park, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2304227-SUPV
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| I.2304227-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Behavioral Health Services, Incorporated | Clinical | Current | Accepting new patients |
| Allied Behavioral Health Services, Incorporated | Past | 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.
-
- Psychologist
- Fairview Park, OH
- NPI 1902984248
Clinical
-
- Counselor
- Wellington, OH
- NPI 1023779303
-
- Community/Behavioral Health Agency
- Fairview Park, OH
- NPI 1942637491
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.