MEDICARE: LIFTING THE VEIL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1750230603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFTING THE VEIL LLC

Provider Business Mailing Address
First Line	:	609 E MAIN ST
Second Line	:
City	:	COTTAGE GROVE
State	:	OR
Zip	:	97424-2039
Country	:	US
Telephone Number	:	971-236-1138
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 E MAIN ST
Second Line	:
City	:	COTTAGE GROVE
State	:	OR
Zip	:	97424-2039
Country	:	US
Telephone Number	:	971-236-1138
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	PATRICIA CLAIRE GODSEY
Credential	:	LCSW
Telephone Number	:	971-208-2408

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	02/19/2026

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