| LCA CASE NUMBER | I-200-21208-485770 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-07-27 |
| DECISION DATE | 2021-08-09 |
| ORIGINAL CERT DATE | 2021-08-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Psychiatrist |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-21 |
| END DATE | 2024-11-20 |
| 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 | DEPARTMENT OF VETERANS AFFAIRS |
| EMPLOYER ADDRESS1 | 2121 LAKE AVE |
| EMPLOYER CITY | FORT WAYNE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46805 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12604265431 |
| EMPLOYER PHONE EXT | 1209 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | SEROVY |
| EMPLOYER POC FIRST NAME | JOSEPH |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | HR SPECIALIST |
| EMPLOYER POC ADDRESS1 | 2121 LAKE AVE |
| EMPLOYER POC CITY | FORT WAYNE |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46805 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12604265431 |
| EMPLOYER POC PHONE EXT | 1209 |
| EMPLOYER POC EMAIL | JOSEPH.SEROVY@VA.GOV |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2121 LAKE AVE |
| LCA CASE WORKLOC1 CITY | FORT WAYNE |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46805 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 282480 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SEROVY |
| PREPARER FIRST NAME | JOE |
| PREPARER BUSINESS NAME | DEPT OF VETERANS AFFAIRS |
| PREPARER EMAIL | JOSEPH.SEROVY@VA.GOV |