| LCA CASE NUMBER | I-200-21105-228052 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-15 |
| DECISION DATE | 2021-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Supervisor-Behavioral |
| SOC CODE | 21-1023.00 |
| SOC TITLE | Mental Health and Substance Abuse Social Workers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Maxim Healthcare Services, Inc. |
| TRADE NAME DBA | Maxim |
| EMPLOYER ADDRESS1 | 7227 Lee Deforest Drive |
| EMPLOYER CITY | Columbia |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21046 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14109104962 |
| NAICS CODE | 621610 |
| EMPLOYER POC LAST NAME | Dieng |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC MIDDLE NAME | Brown |
| EMPLOYER POC JOB TITLE | Chief Counsel, Employment |
| EMPLOYER POC ADDRESS 1 | 7227 Lee Deforest Drive |
| EMPLOYER POC CITY | Columbia |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21046 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14109104962 |
| EMPLOYER POC EMAIL | madieng@maxhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Roeper |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | Gail |
| AGENT ATTORNEY ADDRESS1 | 100 N. Tampa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3600 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18132891247 |
| AGENT ATTORNEY EMAIL ADDRESS | Jennifer.Roeper@Ogletree.com |
|
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins Nash Smoak & Stewart P.C. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6475 Christie Avenue |
| WORKSITE ADDRESS2 | Suite 350 |
| LCA CASE WORKLOC1 CITY | Emeryville |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94608 |
| LCA CASE WAGE RATE FROM | 85000 |
| LCA CASE WAGE RATE TO | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 77626 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Todd |
| PREPARER FIRST NAME | Robin |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | Robin.Todd@Ogletree.com |
