| LCA CASE NUMBER | I-200-20147-597700 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-22 |
| DECISION DATE | 2020-06-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Principal Psychiatrist |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Department of Mental Health and Addiction Services |
| EMPLOYER ADDRESS1 | 460 Silver Street |
| EMPLOYER CITY | Middletown |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18602626730 |
| NAICS CODE | 623220 |
| EMPLOYER POC LAST NAME | Wheeler |
| EMPLOYER POC FIRST NAME | Julianne |
| EMPLOYER POC JOB TITLE | Human Resources Generalist 3 |
| EMPLOYER POC ADDRESS1 | 460 Silver Street |
| EMPLOYER POC CITY | Middletown |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18602625868 |
| EMPLOYER POC EMAIL | Julianne.Wheeler@ct.gov |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100.0 |
| AGENT ATTORNEY PHONE EXT | 108.0 |
| AGENT ATTORNEY EMAIL ADDRESS | awizner@lkwvisa.com |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 70 O'Brien Drive |
| LCA CASE WORKLOC1 CITY | Middletown |
| WORKSITE COUNTY | MIDDLETOWN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6457 |
| LCA CASE WAGE RATE FROM | 201386.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 201386.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2016.0 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Baliko |
| PREPARER FIRST NAME | Frank |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| PREPARER EMAIL | fbaliko@lkwvisa.com |