Individual provider Active NPI

Zendon Nathaniel Jordan Bernal

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1285500371
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
900 W Abriendo Ave Apt 5C
Pueblo, CO 81004-1140
Phone
(719) 937-1949
NPI assigned
Oct 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

900 W Abriendo Ave Apt 5C
Pueblo, CO 81004-1140

Mailing address

900 W Abriendo Ave Apt 5C
Pueblo, CO 81004-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125004150 CO Practitioner - Clinical Social Worker 8426540519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

327 Colorado Ave
Pueblo, CO 81004-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Leaf Therapy, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

327 Colorado Ave
Pueblo, CO 81004
Phone (719) 948-7120

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1285500371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W ABRIENDO AVE APT 5C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ABRIENDO AVE APT 5C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041140",
            "telephone_number": "719-937-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "ZENDON",
        "middle_name": "NATHANIEL JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.