EDWARD JOHN MAGISTE (PH.D., LISW-S) – Clinical Social Worker, NPI 1982179149

EDWARD JOHN MAGISTE (PH.D., LISW-S) is a healthcare provider. based in Wellington, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PH.D., LISW-S. They hold a License No. I.2304227-SUPV (OH). The NPI Number for EDWARD JOHN MAGISTE (PH.D., LISW-S) is 1982179149

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD JOHN MAGISTE (PH.D., LISW-S)
NPI
1982179149
Phone
(440) 828-0012
Address
508 Dickson St Ste 2
Enumeration Date
3 October 2018
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4407344037
Graduation Year
2010 (16 years ago)
PAC ID
7012367683
Group Practice PAC ID
5092713529
Professional Enrollment ID
I20231221003413
Address ID
OH441262212FA22540RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for EDWARD JOHN MAGISTE (PH.D., LISW-S)

  • 508 Dickson St Ste 2

    Wellington, OH 440901300

    Phone: (440) 828-0012

    Fax: (440) 828-0188

    Type: Location

  • 22540, Lorain Road, Fairview Park, Cuyahoga County, Ohio, 44126, United States

    FAIRVIEW PARK, OH 441262212

    Phone: (440) 734-4037

    Type: Mailing

  • 508 DICKSON ST STE 2

    WELLINGTON, OH 440901300

    Phone: (440) 828-0012

    Fax: (440) 828-0188

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231221003413IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092713529View full group profile
NameSpecialtyState
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH

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Frequently asked questions

What federal number belongs to EDWARD JOHN MAGISTE (PH.D., LISW-S)?
The federal identifier for EDWARD JOHN MAGISTE (PH.D., LISW-S) is NPI 1982179149.
Is EDWARD JOHN MAGISTE (PH.D., LISW-S)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does EDWARD JOHN MAGISTE (PH.D., LISW-S) work in?
You can think of EDWARD JOHN MAGISTE (PH.D., LISW-S) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is EDWARD JOHN MAGISTE (PH.D., LISW-S)'s primary listing?
We display Wellington, Ohio because that is what the record indicates for EDWARD JOHN MAGISTE (PH.D., LISW-S).
What if Wellington, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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