| CASE NUMBER | I-200-24057-748030 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/26/2024 |
| DECISION DATE | 3/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinician |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/13/2024 |
| END DATE | 7/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | North Suffolk Community Services, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 301 Broadway |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Chelsea |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2150 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16179127917 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621330 |
| EMPLOYER POC LAST NAME | Romano |
| EMPLOYER POC FIRST NAME | Jason |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 301 Broadway |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Chelsea |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2150 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16179217197 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jromano@northsuffolk.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Quinn |
| AGENT ATTORNEY FIRST NAME | Amanda |
| AGENT ATTORNEY MIDDLE NAME | Patricia |
| AGENT ATTORNEY ADDRESS1 | 456 Hanover Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MA |
| AGENT ATTORNEY PHONE | 16173579300 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | govt@gossimmigration.com |
| LAWFIRM NAME BUSINESS NAME | The Law Offices of Goss & Associates, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 265 Beach Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Revere |
| WORKSITE COUNTY | REVERE CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2151 |
| WAGE RATE OF PAY FROM | 60000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $60,000.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2022 |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-07 |
