| LCA CASE NUMBER | I-200-22194-348300 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-13 |
| DECISION DATE | 2022-07-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Child and Adolescent Inpatient Psychology Fellow |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-06 |
| END DATE | 2023-09-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hartford Hospital |
| EMPLOYER ADDRESS1 | 80 Seymour Street |
| EMPLOYER CITY | Hartford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18605455000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Tenero |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 200 Retreat Avenue |
| EMPLOYER POC CITY | Hartford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6102 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18609725105 |
| EMPLOYER POC EMAIL | maria.tenero@hhchealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Harper |
| AGENT ATTORNEY FIRST NAME | Bradley |
| AGENT ATTORNEY MIDDLE NAME | Mark |
| AGENT ATTORNEY ADDRESS1 | One Constitution Plaza |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602515018 |
| AGENT ATTORNEY EMAIL ADDRESS | bharper@goodwin.com |
| LAWFIRM NAME BUSINESS NAME | Shipman & Goodwin LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | The Institute of Living |
| WORKSITE ADDRESS2 | 200 Retreat Avenue |
| LCA CASE WORKLOC1 CITY | Hartford |
| WORKSITE COUNTY | HARTFORD CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6102 |
| LCA CASE WAGE RATE FROM | 43500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 37378 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Castillo |
| PREPARER FIRST NAME | Fabiola |
| PREPARER BUSINESS NAME | Shipman & Goodwin LLP |
| PREPARER EMAIL | fcastillo@goodwin.com |
