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: Patricia (Pat) Zuber-Wilson
Vice President for Treatment: Pat Lincourt
First Vice President: Valerie Mielke
Vice President for Internal Affairs: Lori Criss
Secretary: DeAnn Decker
Treasurer: Michael Langer
Regional Director I: Deirdre Calvert
Regional Director II: Chinazo Cunningham
Regional Director III: Elliott Birckhead
Regional Director IV: Vacant
Regional Director V: Laura Garcia
Regional Director VI: Carrie Slatton-Hodges
Regional Director VII: DeAnn Decker
Regional Director VIII: Eric Tadehara
Regional Director IX: Vacant
Regional Director X: Michael Langer