The NASADAD Board of Directors is composed of Single State Authorities (SSAs) for their States. The Board has a President, First Vice President, Vice President for Treatment, Vice President for Internal Affairs, Vice President for Prevention, Past President, Secretary, and Treasurer, as well as 10 regional representatives elected by the Association members in the region.

President: Sara Goldsby
Immediate Past President: Cassandra Price
Vice President for Prevention: Sarah Mariani
Vice President for Treatment: Jared Yurow
First Vice President: Trina Ita
Vice President for Internal Affairs: Lori Criss
Secretary: Vacant
Treasurer: Michael Langer
Regional Director I: Deirdre Calvert
Regional Director II: Valerie Mielke
Regional Director III: Vacant
Regional Director IV: Vacant
Regional Director V: Neerja Singh
Regional Director VI: Neal Bowen
Regional Director VII: DeAnn Decker
Regional Director VIII: Eric Tadehara
Regional Director IX: Stephanie Woodard
Regional Director X: Michael Langer