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Case Number: A-22019-99842

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22019-99842

Case Status

Certified

Received Date

2022-03-22

Decision Date

2022-12-12

Refile

N

Original File Date

2023-01-01 18:02:56

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LAKEWOOD FAMILY DENTAL OF ANDERSON PC

Employer Name Slug

lakewood-family-dental-of-anderson-pc

Employer Address 1

1537 S. SCATTERFIELD RD.

Employer Address 2

SUITE A

Employer City

ANDERSON

Employer City Slug

anderson

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46016

Employer Phone

7656494995

Employer Number of Employees

19

Employer Year Commenced Business

2016

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

JOT K KAUR

Employer Contact Address 1

1537 S. SCATTERFIELD RD.

Employer Contact Address 2

SUITE A

Employer Contact City

ANDERSON

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

46016

Employer Contact Phone

2192342345

Employer Contact Email

HR@LAKEWOOD-FAMILYDENTAL.COM

Agent Attorney Name

KELLIE N LEGO

Agent Attorney Firm Name

MVP LAW GROUP, P.A.

Agent Attorney Phone

2403900600

Agent Attorney Address 1

1177 ANNAPOLIS RD. #70

Agent Attorney Address 2

Agent Attorney City

ODENTON

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

21113

Agent Attorney Email

KELLIE@MVPLG.COM

PW Track Number

P10021193455598

PW SOC Code

11-9111

PW SOC Title

MEDICAL AND HEALTH SERVICES MANAGERS

PW Skill Level

Level I

PW Wage

67600.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-12-13

PW Expiration Date

2022-06-30

Wage Offer From

67600.00

Wage Offer To

0.00

Average Salary

67600.00

Wage Unit of Pay

Year

Worksite Address 1

1537 S. SCATTERFIELD RD. SUITE A; AND

Worksite Address 2

VARIOUS OFFICES IN IN IL ZIP CODES46016, 47905, 46902, 46032, 46825, 61704, 46268

Worksite City

ANDERSON

Worksite City Slug

anderson

Worksite State

INDIANA

Worksite Postal Code

46016

Job Title

CLINICAL DIRECTOR

Job Title Slug

clinical-director

Minimum Education

Master's

Major Field of Study

HEALTH ADMIN., HEALTH MNGT. PUBLIC HEALTH OR OTHER HEALTH RELATED FIELD

Required Training

N

Required Experience

Y

Required Experience Months

12

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

HEALTH RELATED

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

12

Accept Alternative Job Title

HEALTH PROFESSIONAL

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

TRAVEL WILL BE REQUIRED TO MULTIPLE DENTAL OFFICE LOCATIONS IN IL IN 46016, 47905, 46902, 46032, 46825, 61704, 46268

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2022-01-10

SWA Job Order End Date

2022-02-15

Sunday Edition Newspaper

Y

First Newspaper Name

THE INDIANAPOLIS STAR

First Advertisement Start Date

2022-01-16

Second Newspaper Ad Name

THE INDIANAPOLIS STAR

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-01-23

Employer Website From Date

2022-01-13

Employer Website To Date

2022-01-28

Professional Organization Ad From Date

2023-01-01 18:02:56

Professional Organization Advertisement To Date

2023-01-01 18:02:56

Job Search Website From Date

2022-01-19

Job Search Website To Date

2022-02-01

Employee Referral Program From Date

2023-01-01 18:02:56

Employee Referral Program To Date

2023-01-01 18:02:56

Local Ethnic Paper From Date

2022-01-19

Local Ethnic Paper To Date

2022-01-19

Radio/TV Ad From Date

2023-01-01 18:02:56

Radio/TV Ad To Date

2023-01-01 18:02:56

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

J-2

Foreign Worker Education

Master's

Foreign Worker Information: Major

PUBLIC HEALTH

Foreign Worker Years of Education Completed

2018

Foreign Worker Institution of Education

HOFSTRA UNIVERSITY

Foreign Worker Education Institution Address 1

900 FULTON AVENUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

HEMPSTEAD

Foreign Worker Education Institution State/Province

NY

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

11550

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

KELLIE N LEGO

Preparer Title

ATTORNEY

Preparer Email

KELLIE@MVPLG.COM

Employer Information Declaration Name

SRINIVASULU KAKOLLU

Employer Information Declaration Title

DIRECTOR