Provider Demographics
NPI:1457247819
Name:DUNBARWILLAMS, KAIMA
Entity type:Individual
Prefix:
First Name:KAIMA
Middle Name:
Last Name:DUNBARWILLAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 LISBON ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-4704
Mailing Address - Country:US
Mailing Address - Phone:401-523-0661
Mailing Address - Fax:
Practice Address - Street 1:73 BRANCH PIKE
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-1211
Practice Address - Country:US
Practice Address - Phone:401-523-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW04961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical