| LCA CASE NUMBER | I-200-21243-555661 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-31 |
| DECISION DATE | 2021-09-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Social Worker |
| SOC CODE | 21-1022.00 |
| SOC TITLE | Healthcare Social Workers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-05 |
| END DATE | 2024-10-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Charles B. Wang Community Health Center |
| EMPLOYER ADDRESS1 | 268 Canal Street |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10013 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12123796988 |
| NAICS CODE | 923120 |
| EMPLOYER POC LAST NAME | Ma |
| EMPLOYER POC FIRST NAME | Annie |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES MANAGER |
| EMPLOYER POC ADDRESS1 | CHARLES B. WANG COMMUNITY HEALTH CENTER |
| EMPLOYER POC ADDRESS2 | 268 CANAL STREET |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10013 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12123796988 |
| EMPLOYER POC EMAIL | ama@cbwchc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lopotukhin |
| AGENT ATTORNEY FIRST NAME | Maria |
| AGENT ATTORNEY ADDRESS1 | 299 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 204 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10007 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125665333 |
| AGENT ATTORNEY EMAIL ADDRESS | ml@andrewfairlaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Andrew L Fair |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 136-26 37th Avenue |
| LCA CASE WORKLOC1 CITY | Flushing |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11354 |
| LCA CASE WAGE RATE FROM | 54000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 53914 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
