Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Paul Ilolibi Medju, LCSW

Individual provider Clinical Social Worker · NPI 1407214919

Mr. Paul Ilolibi Medju, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1526 Mark Massengill Dr
Raleigh, NC 27610-4454
Phone: (919) 633-3792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C011360 (NC)

Record details

NPI number1407214919
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 29, 2016
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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