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

Makana Leadership Academy

Organization Clinical Social Worker · NPI 1467077750

Makana Leadership Academy is a Clinical Social Worker in Roosevelt, Utah. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
8
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4270 W 5625 N
Roosevelt, UT 84066-4824
Phone: (435) 353-4498
Fax: (435) 353-4898
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Clinical Social Worker Taxonomy 1041C0700X
Meals Provider Taxonomy 174200000X
Lodging Provider Taxonomy 177F00000X
Case Management Agency Taxonomy 251B00000X
Mental Illness Intermediate Care Facility Taxonomy 310500000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X

Record details

NPI number1467077750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Sperry-Clegg — Compliance Director · (801) 859-3505
NPI enumeratedJune 11, 2020
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing address4270 W 5625 N, Roosevelt, UT 84066-4824

Other providers in Roosevelt